Individual provider · Type 1 NPI

Ilya Gladkov

Nurse's Aide · Renton, WA

NPI number 1295646297 Active

Practice location

1724 SE 30th Pl
Renton, WA 98055-5201

Fax (425) 572-5169

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNC60543014 (WA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1295646297

Ilya Gladkov's National Provider Identifier is 1295646297, issued on Sep 16, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Renton, WA. The record was last updated on Sep 16, 2026.