DESIRE CORE LPN NPI 1043191398

NPI Information

  • NPI: 1043191398
  • Provider Name: DESIRE CORE, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 3543 SR-81
    STE 201
    LOGANVILLE, GA
    ZIP 30052
  • Phone: (770) 618-9978

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NPI Details

Desire Core, LPN is a licensed practical nurse in Loganville, GA. The provider is a licensed practical nurse 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. Desire Core, LPN NPI is 1043191398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3543 SR-81
STE 201
LOGANVILLE, GA
ZIP 30052
Phone: (770) 618-9978

The enumeration date for this NPI number is 9/11/2025 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse0334168COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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