Individual provider · Type 1 NPI

Tara Dawn Summerville, LPN

Licensed Practical Nurse · Crooksville, OH

NPI number 1376763334 Active

Practice location

116 Mckeever St
Crooksville, OH 43731-1144

Call (740) 982-3054 Map

Fax (740) 982-3054

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.117809 (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 1376763334

Tara Dawn Summerville, LPN's National Provider Identifier is 1376763334, issued on May 1, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Crooksville, OH. The record was last updated on Jul 20, 2007.