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Miss Tara Lee Mendieta, LPN
Licensed Practical Nurse in Russells Point, Ohio
NPI 1992033476

Tara Lee Mendieta is a Licensed Practical Nurse based in Russells Point, OH. Tara Lee Mendieta practices in Russells Point, OH and has the professional credentials of LPN. The NPI Number for Tara Lee Mendieta is 1992033476 and holds a License No. PN.136844-IV (Ohio).

The current practice location address for Tara Lee Mendieta is 622 State Route 708, Russells Point, OH and can be reached out via phone at 419-575-2055.

Location: 622 State Route 708, Russells Point, OH, 43348-9710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992033476
Provider Name
Tara Lee Mendieta
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
622 State Route 708, Russells Point, OH, 43348-9710
Phone Number
419-575-2055
Fax Number
Provider Enumeration Date
11/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
622 State Route 708
City
Russells Point
State
Ohio
Zip
43348-9710
Phone Number
419-575-2055
Fax Number
person
Provider Business Mailing Address Details
Address
622 State Route 708
City
Russells Point
State
Ohio
Zip
43348-9710
Phone Number
419-575-2055
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.136844-IV (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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