Teletha Provitt
NPI #1922407501 in Reynoldsburg, Ohio
Provider Information
- NPI Number
- 1922407501
- Entity Type
- Individual
- Name
- Teletha Provitt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 19, 2014
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 2598 CASTINE WAY
- City
- Reynoldsburg
- State
- Ohio
- ZIP Code
- 43068-4153
- Phone
- (614) 893-8798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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