Individual provider · Type 1 NPI

Crystal Grose

Licensed Practical Nurse · Martinsburg, WV

NPI number 1205258332 Active

Practice location

510 Butler Ave
Martinsburg, WV 25405-9990

Fax (540) 433-0369

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002054569 (VA)

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 1205258332

Crystal Grose's National Provider Identifier is 1205258332, issued on Jan 8, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Martinsburg, WV. The record was last updated on Jan 8, 2014.