Provider Demographics
NPI:1437572989
Name:FYFFE, STEVI LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:STEVI
Middle Name:LYNN
Last Name:FYFFE
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 1:378 SABO DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-2608
Mailing Address - Country:US
Mailing Address - Phone:419-632-4496
Mailing Address - Fax:
Practice Address - Street 1:378 SABO DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-2608
Practice Address - Country:US
Practice Address - Phone:419-632-4496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.140908-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse