Individual provider · Type 1 NPI

Adesuwa Taiye Omorodion

Licensed Vocational Nurse · Grand Prairie, TX

NPI number 1508422296 Active

Practice location

2650 S Forum Dr Apt 17201
Grand Prairie, TX 75052-7049

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X302634 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1508422296

Adesuwa Taiye Omorodion's National Provider Identifier is 1508422296, issued on May 17, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Grand Prairie, TX. The record was last updated on May 17, 2019.