MRS. CARLA MAE UTENDORF LPN NPI 1346442035

NPI Information

MRS. Carla Mae Utendorf, LPN is a licensed practical nurse in Ottawa, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Carla Mae Utendorf, LPN NPI is 1346442035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10129 TWP RD 8
OTTAWA, OH
ZIP 45875
Phone: (419) 523-4231

The enumeration date for this NPI number is 6/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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