Individual provider · Type 1 NPI

Shea N. Gould, LPN

Licensed Practical Nurse · Watertown, NY

NPI number 1235957101 Active

Practice location

611 W Main St
Watertown, NY 13601-1337

Fax (315) 755-2538

Mailing address

482 Black River Pkwy
Watertown, NY 13601-2416

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X350842 (NY)

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 1235957101

Shea N. Gould, LPN's National Provider Identifier is 1235957101, issued on Sep 30, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, NY. The record was last updated on Sep 30, 2024.