Provider Demographics
NPI:1740420280
Name:COMPTON, DEBRA S (LPN)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:S
Last Name:COMPTON
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 1:1440 LONDONDALE PKWY
Mailing Address - Street 2:APT. F - 3
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-7412
Mailing Address - Country:US
Mailing Address - Phone:740-344-6053
Mailing Address - Fax:
Practice Address - Street 1:1440 LONDONDALE PKWY
Practice Address - Street 2:APT. F - 3
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-7412
Practice Address - Country:US
Practice Address - Phone:740-344-6053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 109792164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse