Provider Demographics
NPI:1255046298
Name:MYERS, FLO LYNN
Entity type:Individual
Prefix:
First Name:FLO
Middle Name:LYNN
Last Name:MYERS
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 1:2820 GREENACRE DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4157
Mailing Address - Country:US
Mailing Address - Phone:419-424-1808
Mailing Address - Fax:
Practice Address - Street 1:THE HERITAGE
Practice Address - Street 2:2820 GREENACRE DRIVE
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-424-1808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN246109163WG0000X, 163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice