Provider Demographics
NPI:1275716953
Name:CROUSE, LAURINDA JANE (RN)
Entity Type:Individual
Prefix:MS
First Name:LAURINDA
Middle Name:JANE
Last Name:CROUSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 E MAIN STREET
Mailing Address - Street 2:PO BOX 106
Mailing Address - City:KIRKERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43033
Mailing Address - Country:US
Mailing Address - Phone:740-927-1850
Mailing Address - Fax:
Practice Address - Street 1:162 E MAIN ST
Practice Address - Street 2:
Practice Address - City:KIRKERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43033
Practice Address - Country:US
Practice Address - Phone:740-927-1850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 303241163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice