Individual provider · Type 1 NPI

Dimitri Gusev

Licensed Practical Nurse · Jenkintown, PA

NPI number 1285598672 Active

Practice location

101 Washington Ln # W224
Jenkintown, PA 19046-3505

Fax (215) 403-6984

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN315015 (PA)

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 1285598672

Dimitri Gusev's National Provider Identifier is 1285598672, issued on Dec 11, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jenkintown, PA. The record was last updated on Dec 11, 2025.