Individual provider · Type 1 NPI
Dominique Burrell
Licensed Practical Nurse · Speedway, IN
NPI number
1255537387
Active
Practice location
2225 White Oaks Dr
Speedway, IN 46224-3914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 27057705A (IN) |
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.
About NPI 1255537387
Dominique Burrell's National Provider Identifier is 1255537387, issued on Jun 25, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Speedway, IN. The record was last updated on Jul 8, 2007.