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Ms. Tammy Lee Derito, LPN
Licensed Practical Nurse in Gainesville, Florida
NPI 1194938084

Tammy Lee Derito is a Licensed Practical Nurse based in Jacksonville, FL. Tammy Lee Derito practices in Gainesville, FL and has the professional credentials of LPN. The NPI Number for Tammy Lee Derito is 1194938084 and holds a License No. 23965 (Florida).

The current practice location address for Tammy Lee Derito is 1601 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-374-6047. You can also correspond with Tammy Lee Derito through the mailing address at 2449 BROOK PARK WAY, JACKSONVILLE, FL - 32246-9334 (mailing address contact number: 904-551-2373).

Location: 1601 Sw Archer Rd, Gainesville, FL, 32246-9334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194938084
Provider Name
Tammy Lee Derito
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1601 Sw Archer Rd, Gainesville, FL, 32246-9334
Phone Number
352-374-6047
Fax Number
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32608-1135
Phone Number
352-374-6047
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32608-1135
Phone Number
352-374-6047
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
23965 (West Virginia)
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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