Provider Demographics
NPI:1952427882
Name:TROYER, CARLA DENISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:DENISE
Last Name:TROYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 MICHAELS ST
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-1044
Mailing Address - Country:US
Mailing Address - Phone:614-873-6026
Mailing Address - Fax:614-873-1708
Practice Address - Street 1:155 MICHAELS ST
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-1044
Practice Address - Country:US
Practice Address - Phone:614-873-6026
Practice Address - Fax:614-873-1708
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH255952163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2301226Medicaid