SUSAN L DETTRA LPN
NPI 1912195082
Licensed Practical Nurse in Pleasant City, OH

Active since October 13, 2007
54005 SARAHSVILLE RD, PLEASANT CITY, OH 43772(740) 680-7237 Get Directions Write a Review

NPPES record last updated: October 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan L Dettra Lpn NPPES

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

SUSAN L DETTRA LPN (NPI 1912195082) is an individual licensed practical nurse in Pleasant City, Ohio, licensed in Ohio (PN078189) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1912195082
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN L DETTRACredential: LPN
Location Address54005 SARAHSVILLE RDPleasant City, OH 43772-9611
Mailing Address54005 Sarahsville RdPleasant City, OH 43772-9611 · (740) 680-7237
Sole ProprietorYes
Enumeration DateOctober 13, 2007
NPI 1912195082 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 · PN078189
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.

54005 SARAHSVILLE RD, Pleasant City, OH 43772

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 Susan Dettra's NPI number?

The NPI number for Susan Dettra is 1912195082. It was assigned to this individual provider in the NPPES registry on October 13, 2007.

Where is Susan Dettra located?

Susan Dettra practices at 54005 Sarahsville Rd, Pleasant City, OH 43772. The listed phone number is (740) 680-7237.

What is Susan Dettra'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 Susan Dettra was last updated on October 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.