Provider Demographics
NPI:1659930311
Name:FORSTHOEFEL, CASHAYLA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CASHAYLA
Middle Name:
Last Name:FORSTHOEFEL
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 1:531 TOWNSHIP ROAD 2802
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44842-9761
Mailing Address - Country:US
Mailing Address - Phone:419-606-0412
Mailing Address - Fax:
Practice Address - Street 1:531 TOWNSHIP ROAD 2802
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:OH
Practice Address - Zip Code:44842-9761
Practice Address - Country:US
Practice Address - Phone:419-606-0412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.157463.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse