ISHMAIL A THOLLEY LPN NPI 1174897789

NPI Information

  • NPI: 1174897789
  • Provider Name: ISHMAIL A THOLLEY, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 1027 SERRILL AVE
    YEADON, PA
    ZIP 19050
  • Phone: (484) 469-4692

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NPI Details

Ishmail A Tholley, LPN is a licensed practical nurse in Yeadon, PA. 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. Ishmail A Tholley, LPN NPI is 1174897789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1027 SERRILL AVE
YEADON, PA
ZIP 19050-809
Phone: (484) 469-4692
Fax: (484) 469-4694

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/29/2012.

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
1251S00000XCommunity/Behavioral HealthPN282050PENNSYLVANIANo
2251E00000XHome HealthPN282050PENNSYLVANIANo
3251J00000XNursing CarePN282050PENNSYLVANIANo
4253Z00000XIn Home Supportive CarePN282050PENNSYLVANIANo
5164W00000XLicensed Practical NursePN282050PENNSYLVANIAYes

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

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