Healthcare Provider Details

I. General information

NPI: 1972411908
Provider Name (Legal Business Name): CARRIE ARMSTRONG LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CARTER RD
DEFIANCE OH
43512-8970
US

IV. Provider business mailing address

400 CARTER RD
DEFIANCE OH
43512-8970
US

V. Phone/Fax

Practice location:
  • Phone: 419-785-2260
  • Fax: 419-785-2262
Mailing address:
  • Phone: 419-785-2260
  • Fax: 419-785-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.151177.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: