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MISS TINA GAYLE ETAYEM LPN
NPI 1013263896
Licensed Practical Nurse in Springfield, OH

Active since July 30, 2012
1736 HILLSIDE AVE, SPRINGFIELD, OH 45503(937) 831-3874 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Tina Gayle Etayem Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TINA GAYLE ETAYEM LPN (NPI 1013263896) is an individual licensed practical nurse in Springfield, Ohio, licensed in Ohio (PN 074282 MEDS) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1013263896
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS TINA GAYLE ETAYEMCredential: LPN
Location Address1736 HILLSIDE AVESpringfield, OH 45503-4508
Mailing Address1736 Hillside AveSpringfield, OH 45503-4508 · (937) 831-3874
Phone(937) 831-3874
Sole ProprietorYes
Enumeration DateJuly 30, 2012
✔ NPI 1013263896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN 074282 MEDS
Definition

A licensed practical nurse 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.

1736 HILLSIDE AVE, Springfield, OH 45503
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Other Names 1

Former Name (1)Mrs. Tina Gayle Mitchell

Reviews for MISS TINA GAYLE ETAYEM LPN

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Frequently Asked Questions

What is Tina Etayem's NPI number?

The NPI number assigned to this healthcare provider is 1013263896, enumerated as an "individual" on July 30, 2012.

Where is the provider located?

The provider is located at 1736 HILLSIDE AVE SPRINGFIELD, OH 45503 and the phone number is (937) 831-3874.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.