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Lady-diaesha Latiesh Middleton-benjamin, LPN
Licensed Practical Nurse in Kenmore, Washington
NPI 1679819437

Lady-diaesha Latiesh Middleton-benjamin is a Licensed Practical Nurse based in Kenmore, WA. Lady-diaesha Latiesh Middleton-benjamin practices in Kenmore, WA and has the professional credentials of LPN. The NPI Number for Lady-diaesha Latiesh Middleton-benjamin is 1679819437 and holds a License No. LP00050451 (Washington).

The current practice location address for Lady-diaesha Latiesh Middleton-benjamin is 7214 Ne 155Th St, Kenmore, WA and can be reached out via phone at 206-617-4492.

Location: 7214 Ne 155Th St, Kenmore, WA, 98028-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679819437
Provider Name
Lady-diaesha Latiesh Middleton-benjamin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
7214 Ne 155Th St, Kenmore, WA, 98028-4637
Phone Number
206-617-4492
Fax Number
Provider Enumeration Date
12/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7214 Ne 155Th St
City
Kenmore
State
Washington
Zip
98028-4637
Phone Number
206-617-4492
Fax Number
person
Provider Business Mailing Address Details
Address
7214 Ne 155Th St
City
Kenmore
State
Washington
Zip
98028-4637
Phone Number
206-617-4492
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP00050451 (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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