Individual provider · Type 1 NPI

Queenta M. Bwang

Licensed Practical Nurse · Centerville, OH

NPI number 1508473083 Active

Practice location

843 Revere Village Ct
Centerville, OH 45458-3445

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.176191.MEDS (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 1508473083

Queenta M. Bwang's National Provider Identifier is 1508473083, issued on Sep 28, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Centerville, OH. The record was last updated on Sep 28, 2020.