Provider Demographics
NPI:1063452332
Name:BINIUS, TRACEY LYNN (LPN)
Entity Type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:LYNN
Last Name:BINIUS
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 1:18808 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BENTON
Mailing Address - State:OH
Mailing Address - Zip Code:44449-9605
Mailing Address - Country:US
Mailing Address - Phone:330-584-7500
Mailing Address - Fax:
Practice Address - Street 1:18808 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:NORTH BENTON
Practice Address - State:OH
Practice Address - Zip Code:44449-9605
Practice Address - Country:US
Practice Address - Phone:330-584-7500
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 100302164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2539766Medicaid