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Ms. Theresa Maria Detomaso, LPN
Licensed Practical Nurse in Fort Recovery, Ohio
NPI 1164756649

Theresa Maria Detomaso is a Licensed Practical Nurse based in Fort Recovery, OH. Theresa Maria Detomaso practices in Fort Recovery, OH and has the professional credentials of LPN. The NPI Number for Theresa Maria Detomaso is 1164756649 and holds a License No. PN130615IV (Ohio).

The current practice location address for Theresa Maria Detomaso is 806 Blue Jacket Dr, Fort Recovery, OH and can be reached out via phone at 419-953-7730.

Location: 806 Blue Jacket Dr, Fort Recovery, OH, 45846-0645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164756649
Provider Name
Theresa Maria Detomaso
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
806 Blue Jacket Dr, Fort Recovery, OH, 45846-0645
Phone Number
419-953-7730
Fax Number
Provider Enumeration Date
09/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
806 Blue Jacket Dr
City
Fort Recovery
State
Ohio
Zip
45846-0645
Phone Number
419-953-7730
Fax Number
person
Provider Business Mailing Address Details
Address
806 Blue Jacket Dr
City
Fort Recovery
State
Ohio
Zip
45846-0645
Phone Number
419-953-7730
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN130615IV (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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