Provider Demographics
NPI:1033537279
Name:CARRINGTON, DEVON RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:RENEE
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:RENEE
Other - Last Name:VIZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:10332 US HIGHWAY 68
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-8889
Mailing Address - Country:US
Mailing Address - Phone:513-680-5622
Mailing Address - Fax:
Practice Address - Street 1:10332 US HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-8889
Practice Address - Country:US
Practice Address - Phone:513-680-5622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.140030-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse