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Tiocka Bentley, LPN
Licensed Practical Nurse in Grand Rapids, Michigan
NPI 1073930848

Tiocka Bentley is a Licensed Practical Nurse based in Grand Rapids, MI. Tiocka Bentley practices in Grand Rapids, MI and has the professional credentials of LPN. The NPI Number for Tiocka Bentley is 1073930848 and holds a License No. 4703093522 (Michigan).

The current practice location address for Tiocka Bentley is 1450 Leonard St Ne, Grand Rapids, MI and can be reached out via phone at 616-774-8789 and via fax at 616-776-1305.

Location: 1450 Leonard St Ne, Grand Rapids, MI, 49505-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073930848
Provider Name
Tiocka Bentley
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1450 Leonard St Ne, Grand Rapids, MI, 49505-5515
Phone Number
616-774-8789
Fax Number
616-776-1305
Provider Enumeration Date
03/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4703093522 01 MI LPN
institution
Provider Business Practice Location Address Details
Address
1450 Leonard St Ne
City
Grand Rapids
State
Michigan
Zip
49505-5515
Phone Number
616-774-8789
Fax Number
616-776-1305
person
Provider Business Mailing Address Details
Address
1450 Leonard St Ne
City
Grand Rapids
State
Michigan
Zip
49505-5515
Phone Number
616-774-8789
Fax Number
616-776-1305
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703093522 (Michigan)
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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