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Ms. Tina Ann Theaker, LPN
Licensed Practical Nurse in Fredericktown, Ohio
NPI 1184864480

Tina Ann Theaker is a Licensed Practical Nurse based in Fredericktown, OH. Tina Ann Theaker practices in Fredericktown, OH and has the professional credentials of LPN. The NPI Number for Tina Ann Theaker is 1184864480 and holds a License No. PN095964 (Ohio).

The current practice location address for Tina Ann Theaker is 19880 Knox Lake Rd, Fredericktown, OH and can be reached out via phone at 740-694-1761.

Location: 19880 Knox Lake Rd, Fredericktown, OH, 43019-9669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184864480
Provider Name
Tina Ann Theaker
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
19880 Knox Lake Rd, Fredericktown, OH, 43019-9669
Phone Number
740-694-1761
Fax Number
Provider Enumeration Date
02/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19880 Knox Lake Rd
City
Fredericktown
State
Ohio
Zip
43019-9669
Phone Number
740-694-1761
Fax Number
person
Provider Business Mailing Address Details
Address
19880 Knox Lake Rd
City
Fredericktown
State
Ohio
Zip
43019-9669
Phone Number
740-694-1761
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN095964 (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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