Provider Demographics
NPI:1417292517
Name:SETH, MARCIA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:ANN
Last Name:SETH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:ANN
Other - Last Name:CALE, ARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:657 S FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45760-1435
Mailing Address - Country:US
Mailing Address - Phone:740-416-6506
Mailing Address - Fax:
Practice Address - Street 1:657 S FRONT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:OH
Practice Address - Zip Code:45760-1435
Practice Address - Country:US
Practice Address - Phone:740-416-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN061170164W00000X
WV15138164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse