Individual provider · Type 1 NPI

Teaninau Mahogany Smith, L.P.N

Licensed Practical Nurse · Cleveland, OH

NPI number 1033476205 Active

Practice location

3405 Tate Avenue
Cleveland, OH 44109

Mailing address

3405 Tate Ave
Cleveland, OH 44109-4349

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.135944-M-IV (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 1033476205

Teaninau Mahogany Smith, L.P.N's National Provider Identifier is 1033476205, issued on Apr 12, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 12, 2012.