Provider Demographics
NPI:1134253974
Name:MENSING, GLENDA LOU (LPN)
Entity type:Individual
Prefix:MRS
First Name:GLENDA
Middle Name:LOU
Last Name:MENSING
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 1:441 PAULY DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1271
Mailing Address - Country:US
Mailing Address - Phone:419-873-1913
Mailing Address - Fax:
Practice Address - Street 1:441 PAULY DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1271
Practice Address - Country:US
Practice Address - Phone:419-873-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-063785164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse