Provider Demographics
NPI:1003647785
Name:LINNEMANN, STORMY
Entity type:Individual
Prefix:
First Name:STORMY
Middle Name:
Last Name:LINNEMANN
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 1:1129 E US HIGHWAY 22 AND 3
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-8417
Mailing Address - Country:US
Mailing Address - Phone:513-259-4431
Mailing Address - Fax:
Practice Address - Street 1:1129 E US HIGHWAY 22 AND 3
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-8417
Practice Address - Country:US
Practice Address - Phone:513-259-4431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker