Provider Demographics
NPI:1962707943
Name:MORNINGSTAR, TAMELA ELAINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:TAMELA
Middle Name:ELAINE
Last Name:MORNINGSTAR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 173
Mailing Address - Street 2:49 S. WEST ST.
Mailing Address - City:MARTINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43037
Mailing Address - Country:US
Mailing Address - Phone:740-668-2683
Mailing Address - Fax:740-668-2961
Practice Address - Street 1:49 S WEST ST
Practice Address - Street 2:
Practice Address - City:MATRINSBURG
Practice Address - State:OH
Practice Address - Zip Code:43037
Practice Address - Country:US
Practice Address - Phone:740-668-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139716164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse