Provider Demographics
NPI:1063653830
Name:PIRMAN, KRYSTA LEIGH (LPN)
Entity Type:Individual
Prefix:
First Name:KRYSTA
Middle Name:LEIGH
Last Name:PIRMAN
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 1:59 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:SABINA
Mailing Address - State:OH
Mailing Address - Zip Code:45169-1330
Mailing Address - Country:US
Mailing Address - Phone:037-584-9617
Mailing Address - Fax:
Practice Address - Street 1:59 E ELM ST
Practice Address - Street 2:
Practice Address - City:SABINA
Practice Address - State:OH
Practice Address - Zip Code:45169-1330
Practice Address - Country:US
Practice Address - Phone:037-584-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-105481164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse