Provider Demographics
NPI:1326260027
Name:MCGIRR, CAROLYN LOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:LOUISE
Last Name:MCGIRR
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 1:3563 S RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44048-7753
Mailing Address - Country:US
Mailing Address - Phone:440-224-3347
Mailing Address - Fax:
Practice Address - Street 1:3563 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44048-7753
Practice Address - Country:US
Practice Address - Phone:440-224-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH089333164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse