Individual provider · Type 1 NPI
Dominique Nettles, LPN
Licensed Practical Nurse · Fort Wayne, IN
NPI number
1992521322
Active
Practice location
431 Dalman Ave
Fort Wayne, IN 46806-4011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 27072591A (IN) |
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.
Another provider at this address
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About NPI 1992521322
Dominique Nettles, LPN's National Provider Identifier is 1992521322, issued on Dec 2, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 2, 2024.