Individual provider · Type 1 NPI
Gwendolyn Black, LPN
Licensed Practical Nurse · Mill Creek, WA
NPI number
1194593970
Active
Practice location
14711 38th Dr SE
Mill Creek, WA 98012-4282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP00045623 (WA) |
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.
Other licensed practical nurse providers in Mill Creek
About NPI 1194593970
Gwendolyn Black, LPN's National Provider Identifier is 1194593970, issued on Dec 12, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mill Creek, WA. The record was last updated on Dec 12, 2023.