Provider Demographics
NPI:1659307536
Name:DLUGAS, NADINE MARIE (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:MARIE
Last Name:DLUGAS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 CRAIG ROAD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3007
Mailing Address - Country:US
Mailing Address - Phone:419-893-7087
Mailing Address - Fax:
Practice Address - Street 1:1068 CRAIG RD
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3007
Practice Address - Country:US
Practice Address - Phone:419-893-7087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 265532163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2371713Medicaid