Individual provider · Type 1 NPI

Itoro Cosmas Etim

Licensed Vocational Nurse · Dallas, TX

NPI number 1053906230 Active

Practice location

13601 Preston Rd Ste 210W
Dallas, TX 75240-4986

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	1021444 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1053906230

Itoro Cosmas Etim's National Provider Identifier is 1053906230, issued on Mar 9, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Dallas, TX. The record was last updated on Mar 9, 2021.