Provider Demographics
NPI:1336429042
Name:ARMSTRONG, CAROLYN LEIGH
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:LEIGH
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CAROLYN
Other - Middle Name:LEIGH
Other - Last Name:TROXELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STNA
Mailing Address - Street 1:4584 MCCORMICK LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-1029
Mailing Address - Country:US
Mailing Address - Phone:513-429-0849
Mailing Address - Fax:
Practice Address - Street 1:4584 MCCORMICK LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1029
Practice Address - Country:US
Practice Address - Phone:513-429-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH401043120210Medicare PIN