Doctor Name: | CLARESSE GHOLSON |
NPI Number: | 1184039299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | MV-155015-IV |
Business Practice Address: | 6000 Bear Creek Dr Apt 404 Bedford Heights, OH - 441462916 |
Business Phone Number: | 2163033361 |
Business Fax Number: | |
Mailing Address: | 6000 Bear Creek Dr Apt 404, BEDFORD HEIGHTS |
State: | OH |
Postal Code: | 441462916 |
Phone Number: | 2163033361 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | MV-155015-IV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual 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. |