Individual provider · Type 1 NPI

Tina Ann Theaker, LPN

Licensed Practical Nurse · Fredericktown, OH

NPI number 1184864480 Active

Practice location

19880 Knox Lake Rd
Fredericktown, OH 43019-9669

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN095964 (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.

22 other providers at this address

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About NPI 1184864480

Tina Ann Theaker, LPN's National Provider Identifier is 1184864480, issued on Feb 26, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fredericktown, OH. The record was last updated on Feb 26, 2009.