Doctor Name: | THELMA DIANNA SMALES |
NPI Number: | 1982900072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | L0052643 |
Business Practice Address: | 602 Sw 38th St Lawton, OK - 735056912 |
Business Phone Number: | 5802485780 |
Business Fax Number: | 5803536798 |
Mailing Address: | 602 Sw 38th St, LAWTON |
State: | OK |
Postal Code: | 735056912 |
Phone Number: | 5802485780 |
Fax Number: | 5803536798 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L0052643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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. |