Provider Demographics
NPI:1639270507
Name:PLESSINGER, MANDA KRISTIN
Entity Type:Individual
Prefix:MRS
First Name:MANDA
Middle Name:KRISTIN
Last Name:PLESSINGER
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 1:529 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45318-1415
Mailing Address - Country:US
Mailing Address - Phone:937-473-9857
Mailing Address - Fax:
Practice Address - Street 1:529 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:OH
Practice Address - Zip Code:45318-1415
Practice Address - Country:US
Practice Address - Phone:937-473-9857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide