Individual provider · Type 1 NPI

Tiesha Sharease Debardelaben, LPN

Licensed Practical Nurse · Cleveland Heights, OH

NPI number 1164647301 Active

Practice location

1453 Westover Rd
Cleveland Heights, OH 44118-1341

Call (216) 320-9662 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.114862 (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 1164647301

Tiesha Sharease Debardelaben, LPN's National Provider Identifier is 1164647301, issued on Apr 14, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland Heights, OH. The record was last updated on Jul 9, 2007.