Individual provider · Type 1 NPI

Raven Symone Gross

Licensed Practical Nurse · Toledo, OH

NPI number 1104718626 Active

Practice location

732 Main St
Toledo, OH 43605-2397

Call (419) 691-0600 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.187619 (OH)

Licensed Practical Nurse: 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.

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About NPI 1104718626

Raven Symone Gross's National Provider Identifier is 1104718626, issued on Jul 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Toledo, OH. The record was last updated on Jul 18, 2025.