Individual provider · Type 1 NPI

Tyrell Twone Devault

Licensed Practical Nurse · Toledo, OH

NPI number 1396554853 Active

Practice location

4828 Village Ln
Toledo, OH 43614-1847

Call (419) 351-1479 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X187268 (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 1396554853

Tyrell Twone Devault's National Provider Identifier is 1396554853, issued on Dec 30, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Toledo, OH. The record was last updated on Dec 30, 2024.