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Jeffery W Diehl, LPN
Licensed Practical Nurse in Fairport Harbor, Ohio
NPI 1760692545

Jeffery W Diehl is a Licensed Practical Nurse based in Fairport Harbor, OH. Jeffery W Diehl practices in Fairport Harbor, OH and has the professional credentials of LPN. The NPI Number for Jeffery W Diehl is 1760692545 and holds a License No. PN.124633 MEDS (Ohio).

The current practice location address for Jeffery W Diehl is 328 Chestnut St, Fairport Harbor, OH and can be reached out via phone at 440-352-0617.

Location: 328 Chestnut St, Fairport Harbor, OH, 44077-5708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760692545
Provider Name
Jeffery W Diehl
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
328 Chestnut St, Fairport Harbor, OH, 44077-5708
Phone Number
440-352-0617
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2704596 05 OH
institution
Provider Business Practice Location Address Details
Address
328 Chestnut St
City
Fairport Harbor
State
Ohio
Zip
44077-5708
Phone Number
440-352-0617
Fax Number
person
Provider Business Mailing Address Details
Address
328 Chestnut St
City
Fairport Harbor
State
Ohio
Zip
44077-5708
Phone Number
440-352-0617
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.124633 MEDS (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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