IndividualActive
Martha Stafford, LPN
NPI 1679893986 · Licensed Practical Nurse · Prospect, OH
Provider details
- NPI number
- 1679893986
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN.122646 IV (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
4714 Larue Prospect Rd S
Prospect, OH 43342-9543
Phone: (614) 989-4855
Approximate (ZIP-level) locationGet directions
Mailing address
4714 Larue Prospect Rd S
Prospect, OH 43342-9543
Registry dates
- Enumerated
- 2010-06-09
- Last updated
- 2010-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.