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Brent M Debolt, LPN
Licensed Practical Nurse in Vancouver, Washington
NPI 1235434341

Brent M Debolt is a Licensed Practical Nurse based in Vancouver, WA. Brent M Debolt practices in Vancouver, WA and has the professional credentials of LPN. The NPI Number for Brent M Debolt is 1235434341 and holds a License No. LP60203433 (Washington).

The current practice location address for Brent M Debolt is 2314 E 13Th St, Vancouver, WA and can be reached out via phone at 503-709-7122.

Location: 2314 E 13Th St, Vancouver, WA, 98661-4122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235434341
Provider Name
Brent M Debolt
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
2314 E 13Th St, Vancouver, WA, 98661-4122
Phone Number
503-709-7122
Fax Number
Provider Enumeration Date
01/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2314 E 13Th St
City
Vancouver
State
Washington
Zip
98661-4122
Phone Number
503-709-7122
Fax Number
person
Provider Business Mailing Address Details
Address
2314 E 13Th St
City
Vancouver
State
Washington
Zip
98661-4122
Phone Number
503-709-7122
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP60203433 (Washington)
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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