Individual provider · Type 1 NPI

Korisha Gaddie, LPN

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1205031697 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Call (610) 834-1122 Map

Mailing address

3854 Wind Drift Drive 2A
Indianapolis, IN 46254

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27048650A (IN)

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 1205031697

Korisha Gaddie, LPN's National Provider Identifier is 1205031697, issued on Jun 18, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jul 8, 2007.