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Reva Shane Mitchell
Licensed Practical Nurse in Columbus, Ohio
NPI 1063103752

Reva Shane Mitchell is a Licensed Practical Nurse based in Columbus, OH. Reva Shane Mitchell practices in Columbus, OH. The NPI Number for Reva Shane Mitchell is 1063103752 and holds a License No. 180908 (Ohio).

The current practice location address for Reva Shane Mitchell is 2810 Fern Ave, Columbus, OH and can be reached out via phone at 614-999-5152.

Location: 2810 Fern Ave, Columbus, OH, 43211-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063103752
Provider Name
Reva Shane Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2810 Fern Ave, Columbus, OH, 43211-1730
Phone Number
614-999-5152
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2810 Fern Ave
City
Columbus
State
Ohio
Zip
43211-1730
Phone Number
614-999-5152
Fax Number
person
Provider Business Mailing Address Details
Address
2810 Fern Ave
City
Columbus
State
Ohio
Zip
43211-1730
Phone Number
614-999-5152
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
180908 (Ohio)
Definition
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.
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