Individual provider · Type 1 NPI

Chauntacey Monique Harris

Licensed Practical Nurse · Toledo, OH

NPI number 1205349016 Active

Practice location

2005 Ashland Ave
Toledo, OH 43620-1703

Call (419) 841-7701 Map

Fax (419) 841-1691

Mailing address

552 Nicholas St
Toledo, OH 43609-2918

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X159468 (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 1205349016

Chauntacey Monique Harris's National Provider Identifier is 1205349016, issued on Nov 15, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Toledo, OH. The record was last updated on Sep 29, 2026.