Provider Demographics
NPI:1790108389
Name:PLESSINGER, BONNIE ROSE (LPN)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:ROSE
Last Name:PLESSINGER
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 1:9729 EGYPT RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-9664
Mailing Address - Country:US
Mailing Address - Phone:330-429-8069
Mailing Address - Fax:
Practice Address - Street 1:9729 EGYPT RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-9664
Practice Address - Country:US
Practice Address - Phone:330-429-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-02
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.084405-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse