Provider Demographics
NPI:1063242626
Name:TUMPNEY, KATRINA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:TUMPNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:MARIE
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 REGINA ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4836
Mailing Address - Country:US
Mailing Address - Phone:603-718-2628
Mailing Address - Fax:
Practice Address - Street 1:3 REGINA ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4836
Practice Address - Country:US
Practice Address - Phone:603-718-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN101981164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse