Provider Demographics
NPI:1023400439
Name:PARNELL, ANDYNATE' (LPN)
Entity Type:Individual
Prefix:
First Name:ANDYNATE'
Middle Name:
Last Name:PARNELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 INDEPENDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2534
Mailing Address - Country:US
Mailing Address - Phone:567-343-6565
Mailing Address - Fax:
Practice Address - Street 1:1126 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2534
Practice Address - Country:US
Practice Address - Phone:567-343-1360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-21
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH158204164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse