Individual provider · Type 1 NPI

Tara Lee Mendieta, LPN

Licensed Practical Nurse · Russells Point, OH

NPI number 1992033476 Active

Practice location

622 State Route 708
Russells Point, OH 43348-9710

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.136844-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 1992033476

Tara Lee Mendieta, LPN's National Provider Identifier is 1992033476, issued on Nov 22, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Russells Point, OH. The record was last updated on Nov 22, 2009.