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NPI Code Detail

MEDICARE: MIRANDA KAY TRUMBULL LPN

MEDICARE:   MIRANDA KAY TRUMBULL  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN.180355.MEDS-IVOH

General Provider Information

NPI Number : 1730979568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA KAY TRUMBULL LPN
Provider Business Mailing Address
First Line : 2135 MELLWOOD CT
Second Line :
City : TOLEDO
State : OH
Zip : 43613-3407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2135 MELLWOOD CT
Second Line :
City : TOLEDO
State : OH
Zip : 43613-3407
Country : US
Telephone Number : 419-466-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2025
Last Update Date : 05/06/2025

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Directions to “ MIRANDA KAY TRUMBULL LPN” Practice Location

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