Individual provider · Type 1 NPI

Tina Gayle Etayem, LPN

Licensed Practical Nurse · Springfield, OH

NPI number 1013263896 Active

Practice location

1736 Hillside Ave
Springfield, OH 45503-4508

Call (937) 831-3874 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 074282 MEDS (OH)

Licensed Practical Nurse: 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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About NPI 1013263896

Tina Gayle Etayem, LPN's National Provider Identifier is 1013263896, issued on Jul 30, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield, OH. The record was last updated on Jul 30, 2012.