Individual provider · Type 1 NPI

Brent M. Debolt, LPN

Licensed Practical Nurse · Vancouver, WA

NPI number 1235434341 Active

Practice location

2314 E 13th St
Vancouver, WA 98661-4122

Call (503) 709-7122 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60203433 (WA)

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 1235434341

Brent M. Debolt, LPN's National Provider Identifier is 1235434341, issued on Jan 20, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 20, 2011.