Tracy Lynn Custer I
Licensed Practical Nurse · Spencerville, OH
Practice location
105 Primrose PlSpencerville, OH 45887-1252
- Phone
- (419) 236-2755
NPI record
- NPI
- 1629576624
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2018
- Last updated
- January 25, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
161430 | OH |
Mailing address
311 E Market St Fl 3Lima, OH 45801-4535
- Phone
- (419) 222-4474
About Tracy Custer
Tracy Lynn Custer I is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 105 Primrose Pl, Spencerville, OH 45887-1252. The NPI number 1629576624 was assigned on January 25, 2018 and the record was last updated on January 25, 2018.
Tracy Custer lists a license in the registry: #161430 (OH) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tracy Lynn Custer I?
The NPI number is 1629576624.
What is the phone number of Tracy Custer?
The phone number listed for the practice location is (419) 236-2755.
Where is Tracy Custer located?
105 Primrose Pl, Spencerville, OH 45887-1252.
What is the taxonomy code for Tracy Custer?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.