Provider Demographics
NPI:1558055715
Name:PENDLEY, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:PENDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15616 CLOVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-8297
Mailing Address - Country:US
Mailing Address - Phone:330-523-0137
Mailing Address - Fax:
Practice Address - Street 1:15616 CLOVERDALE DR
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-8297
Practice Address - Country:US
Practice Address - Phone:330-523-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker