Doctor Name: | MRS. IMOGENE C. PEAVY |
NPI Number: | 1194847632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PN-082172 |
Business Practice Address: | 849 N Euclid Ave Dayton, OH - 454025909 |
Business Phone Number: | 9372782870 |
Business Fax Number: | 9372782870 |
Mailing Address: | 849 N Euclid Ave, DAYTON |
State: | OH |
Postal Code: | 454025909 |
Phone Number: | 9372782870 |
Fax Number: | 9372782870 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | PN-082172 |
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. |