BROOKE N MALICOTE LPN-MEDS-IV
NPI 1114473139
Licensed Practical Nurse in Wilmington, OH

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 30, 2016

953 S SOUTH ST, WILMINGTON, OH 45177(937) 383-4441(937) 383-2916 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brooke N Malicote Lpn-meds-iv NPPES

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

BROOKE N MALICOTE LPN-MEDS-IV (NPI 1114473139) is an individual licensed practical nurse in Wilmington, Ohio, licensed in Ohio (LPN-153388-MEDS-IV) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1114473139

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBROOKE N MALICOTECredential: LPN-MEDS-IV

Location Address953 S SOUTH STWilmington, OH 45177-2921

Mailing Address204 Cook Rd, Suite 400Lebanon, OH 45036-9600 · (513) 228-7800 · Fax (513) 695-2952

Phone(937) 383-4441

Fax(937) 383-2916

Sole ProprietorNo

Enumeration DateAugust 30, 2016

✔ NPI 1114473139 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 · LPN-153388-MEDS-IV

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.

953 S SOUTH ST, Wilmington, OH 45177

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