Provider Demographics
NPI:1467759449
Name:DYSINGER, WENDY CHRISTINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:CHRISTINE
Last Name:DYSINGER
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 1:1240 SEVERS DR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2528
Mailing Address - Country:US
Mailing Address - Phone:937-451-1505
Mailing Address - Fax:
Practice Address - Street 1:1240 SEVERS DR
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2528
Practice Address - Country:US
Practice Address - Phone:937-451-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 127089164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse