Individual provider · Type 1 NPI

Theresa Brooks Kotlar, RN

Registered Nurse · Ravenna, OH

NPI number 1396114302 Active

Practice location

7174 Colonial Place
Ravenna, OH 44266

Mailing address

7174 Colonial Place
Ravenna, OH 44268

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse 163WH0200X213262 (OH)
Nursing Care Agency 251J00000XRN213262 (OH)
Registered Nurse Primary 163W00000X213262 (OH)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1396114302

Theresa Brooks Kotlar, RN's National Provider Identifier is 1396114302, issued on Sep 20, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ravenna, OH. The record was last updated on Dec 23, 2015.