Maxine Church , LPN
Licensed Practical Nurse • Waverly, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Maxine Church has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Maxine Church, LPN was a registered Licensed Practical Nurse practicing in Waverly, OH. Throughout an active medical career spanning 13 years, Maxine Church provided care at the practice location at 6205 ST-RT 220 until profile deactivation on 2023-06-21.
Practice Location & Contact Primary Location
6205 St-Rt 220
Waverly, OH 45690
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Waverly, OH
Practicing in Waverly, OH (13034 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 21, 2023
NPI status registered as active in NPPES database
Registered at 6205 ST-RT 220, WAVERLY, OH 45690 (Tel: 7409477003)
Registered at 6205 ST-RT 220, WAVERLY, OH 45690 (Tel: 7409477003)
Recorded as MAXINE CHURCH, LPN
Licensed Practical Nurse (License #PN 068620 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6205 St-Rt 220
Waverly, OH 45690
Phone: 7409477003
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.