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Active NPI 1235434341 Individual Practitioner Male Practitioner

Brent M Debolt , LPN

Licensed Practical Nurse • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Brent Debolt, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Vancouver, WA. Practice services are available at 2314 E 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2314 E 13th St

Vancouver, WA 986614122

Telephone 5037097122

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
102 Specialists

Practicing in Vancouver, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60203433

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2011

Registered at 2314 E 13TH ST, VANCOUVER, WA 986614122 (Tel: 5037097122)

📍
Updated Business Mailing Address January 20, 2011

Registered at 2314 E 13TH ST, VANCOUVER, WA 986614122 (Tel: 5037097122)

👤
Provider Name / Credentials Updated January 20, 2011

Recorded as BRENT DEBOLT, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2011

Licensed Practical Nurse (License #LP60203433 in WA)

🟢
Initial NPI Registration & Enumeration January 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235434341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2011
Last Update: January 20, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2314 E 13th St

Vancouver, WA 986614122

Phone: 5037097122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.