Individual provider · Type 1 NPI

Kasisi Daniels Provitt

Licensed Practical Nurse · Youngstown, OH

NPI number 1881539914 Active

Practice location

3344 Castalia Ave
Youngstown, OH 44505-4408

Call (313) 974-9521 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X171318 (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 1881539914

Kasisi Daniels Provitt's National Provider Identifier is 1881539914, issued on Apr 23, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Youngstown, OH. The record was last updated on Apr 23, 2026.