Provider Demographics
NPI:1902133697
Name:KRINER, NANCY ANN (QMA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:KRINER
Suffix:
Gender:F
Credentials:QMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 COPELAND ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-2015
Mailing Address - Country:US
Mailing Address - Phone:574-267-3874
Mailing Address - Fax:
Practice Address - Street 1:1345 COPELAND ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-2015
Practice Address - Country:US
Practice Address - Phone:574-267-3874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INQMA0700326376K00000X
INCNA0506574376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide