Individual provider · Type 1 NPI

Tequila Harris

Licensed Practical Nurse · Maple Heights, OH

NPI number 1790263317 Active

Practice location

16101 Rockside Rd
Maple Heights, OH 44137-3960

Call (216) 246-6008 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X142854 (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 1790263317

Tequila Harris's National Provider Identifier is 1790263317, issued on Aug 6, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maple Heights, OH. The record was last updated on Aug 6, 2018.