Individual provider · Type 1 NPI

Teletha Provitt

Licensed Practical Nurse · Reynoldsburg, OH

NPI number 1922407501 Active

Practice location

2598 Castine Way
Reynoldsburg, OH 43068-4153

Call (614) 893-8798 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN148847M-IV (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 1922407501

Teletha Provitt's National Provider Identifier is 1922407501, issued on Aug 19, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Reynoldsburg, OH. The record was last updated on Aug 19, 2014.