Provider Demographics
NPI:1295539773
Name:CARRINGTON, ANISHA (LPN)
Entity type:Individual
Prefix:
First Name:ANISHA
Middle Name:
Last Name:CARRINGTON
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 E STROOP RD APT 301
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-1363
Mailing Address - Country:US
Mailing Address - Phone:937-409-7907
Mailing Address - Fax:
Practice Address - Street 1:3317 E STROOP RD APT 301
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-1363
Practice Address - Country:US
Practice Address - Phone:937-409-7907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH181414164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse