TARA DAWN SUMMERVILLE LPN - NPI 1376763334 - Licensed Practical Nurse in Crooksville, OH

Q: What is the provider's specialty?

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

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About Tara Dawn Summerville Lpn NPPES

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

TARA DAWN SUMMERVILLE LPN (NPI 1376763334) is an individual licensed practical nurse in Crooksville, Ohio, licensed in Ohio (PN.117809) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1376763334

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTARA DAWN SUMMERVILLECredential: LPN

Location Address116 MCKEEVER STCrooksville, OH 43731-1144

Mailing Address116 Mckeever StCrooksville, OH 43731-1144 · (740) 982-3054 · Fax (740) 982-3054

Phone(740) 982-3054

Fax(740) 982-3054

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 20, 2007

✔ NPI 1376763334 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.117809

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.

116 MCKEEVER ST, Crooksville, OH 43731

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Frequently Asked Questions

What is Tara Summerville's NPI number?

The NPI number assigned to this healthcare provider is 1376763334, enumerated as an "individual" on May 01, 2007.

Where is the provider located?

The provider is located at 116 MCKEEVER ST CROOKSVILLE, OH 43731 and the phone number is (740) 982-3054.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.