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NPI Profile for MARY A DETMER in GREENDALE, IN.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Licensed Practical Nurse |
164W00000X |
| NPI # | 1558815639 |
|
| Status | Active | |
| Credentials | L.P.N. | |
| Entity | Individual | |
| Enumeration date | 08/07/2016 | |
| Last updated | 08/07/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY A DETMER
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MARY A DETMER, L.P.N.