Individual provider · Type 1 NPI

Diamond Commodore, LPN

Licensed Practical Nurse · Cincinnati, OH

NPI number 1811656317 Active

Practice location

73 Bishopsgate Dr Apt 306
Cincinnati, OH 45246-4362

Call (513) 485-2513 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X163571 (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 1811656317

Diamond Commodore, LPN's National Provider Identifier is 1811656317, issued on Dec 12, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cincinnati, OH. The record was last updated on Dec 12, 2021.