Individual provider · Type 1 NPI

Pamela Sue Grover

Licensed Practical Nurse · Bloomville, OH

NPI number 1275005779 Active

Practice location

22 Clinton St
Bloomville, OH 44818-9399

Mailing address

143 Schonhardt St
Tiffin, OH 44883-3028

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN077670 (OH)

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 1275005779

Pamela Sue Grover's National Provider Identifier is 1275005779, issued on Dec 20, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bloomville, OH. The record was last updated on Dec 20, 2018.