Doctor Name: | MS. TRISTIAN DANIELLE DOUGLASS |
NPI Number: | 1386912798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | PN.145931-M-IV |
Business Practice Address: | 2128 Hoge Ave Zanesville, OH - 437012130 |
Business Phone Number: | 7406183068 |
Business Fax Number: | |
Mailing Address: | 2128 Hoge Ave, ZANESVILLE |
State: | OH |
Postal Code: | 437012130 |
Phone Number: | 7406183068 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 07/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | PN.145931-M-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. |