Provider Demographics
NPI:1285000679
Name:STEARMAN, THELMA (LPN)
Entity Type:Individual
Prefix:
First Name:THELMA
Middle Name:
Last Name:STEARMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:JANE
Other - Last Name:STEARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:628 CROSSINGS CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5465
Mailing Address - Country:US
Mailing Address - Phone:270-779-5204
Mailing Address - Fax:
Practice Address - Street 1:628 CROSSINGS CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5465
Practice Address - Country:US
Practice Address - Phone:270-779-5204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2015839164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1285000679OtherNPI