Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrell Twone Devault

Individual provider Licensed Practical Nurse · NPI 1396554853

Tyrell Twone Devault is a Licensed Practical Nurse in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

4828 Village Ln
Toledo, OH 43614-1847
Phone: (419) 351-1479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 187268 (OH)

Record details

NPI number1396554853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address4828 Village Ln, Toledo, OH 43614-1847

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