Individual provider · Type 1 NPI

Susan L. Dettra, LPN

Licensed Practical Nurse · Pleasant City, OH

NPI number 1912195082 Active

Practice location

54005 Sarahsville Rd
Pleasant City, OH 43772-9611

Call (740) 680-7237 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN078189 (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 1912195082

Susan L. Dettra, LPN's National Provider Identifier is 1912195082, issued on Oct 13, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pleasant City, OH. The record was last updated on Oct 13, 2007.