Individual provider · Type 1 NPI
Shannon Grosse
Licensed Practical Nurse · Syracuse, NE
NPI number
1194453738
Active
Practice location
1430 Education Dr
Syracuse, NE 68446-4000
Mailing address
550 7th Street, -
Syracuse, NE 68446
Other practice locations
- 1500 Education Dr, Syracuse, NE 68446-4001 · (402) 269-2381
- 550 7th Street, -, Syracuse, NE 68446 · (402) 269-5866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 15980 (NE) |
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.
2 other providers at this address
About NPI 1194453738
Shannon Grosse's National Provider Identifier is 1194453738, issued on Aug 11, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NE. The record was last updated on Aug 11, 2022.