Provider Demographics
NPI:1154166197
Name:KREGLOW, ALLEYNAH MARIE (RN)
Entity type:Individual
Prefix:
First Name:ALLEYNAH
Middle Name:MARIE
Last Name:KREGLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALLEYNAH
Other - Middle Name:MARIE
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6531 MEADOWCROFT LN
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1128
Mailing Address - Country:US
Mailing Address - Phone:567-201-8257
Mailing Address - Fax:
Practice Address - Street 1:6531 MEADOWCROFT LN
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1128
Practice Address - Country:US
Practice Address - Phone:567-342-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OHRN.479831390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program