Individual provider · Type 1 NPI

Melissa Mantooth, LPN

Licensed Practical Nurse · Fort Rucker, AL

NPI number 1235501693 Active

Practice location

Building 301 Andrews Ave., Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Call (334) 255-7930 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2066467 (AL)
Licensed Practical Nurse 164W00000XP324855 (MS)
Licensed Practical Nurse 164W00000XLPN16824 (HI)

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 1235501693

Melissa Mantooth, LPN's National Provider Identifier is 1235501693, issued on Oct 26, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Rucker, AL. The record was last updated on Oct 26, 2015.