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MS. THERESA MARIA DETOMASO LPN
NPI 1164756649
Licensed Practical Nurse in Fort Recovery, OH

Active since September 30, 2009
806 BLUE JACKET DR, APT. B, FORT RECOVERY, OH 45846(419) 953-7730 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Theresa Maria Detomaso Lpn NPPES

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

MS. THERESA MARIA DETOMASO LPN (NPI 1164756649) is an individual licensed practical nurse in Fort Recovery, Ohio, licensed in Ohio (PN130615IV) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1164756649
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. THERESA MARIA DETOMASOCredential: LPN
Location Address806 BLUE JACKET DR, APT. BFort Recovery, OH 45846-0645
Mailing AddressPo Box 645Fort Recovery, OH 45846-0645 · (419) 953-7730
Phone(419) 953-7730
Sole ProprietorYes
Enumeration DateSeptember 30, 2009
✔ NPI 1164756649 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 · PN130615IV
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.
806 BLUE JACKET DR, Fort Recovery, OH 45846
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Detomaso's NPI number?

The NPI number for Theresa Detomaso is 1164756649. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Theresa Detomaso located?

Theresa Detomaso practices at 806 Blue Jacket Dr Apt. B, Fort Recovery, OH 45846. The listed phone number is (419) 953-7730.

What is Theresa Detomaso's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Theresa Detomaso was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.