Individual provider · Type 1 NPI

Jim Gultom, LPN

Licensed Practical Nurse · Denver, CO

NPI number 1366709388 Active

Practice location

19053 E 51st Ave
Denver, CO 80249-8433

Call (303) 395-5558 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X43575 (CO)

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 1366709388

Jim Gultom, LPN's National Provider Identifier is 1366709388, issued on Apr 15, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Denver, CO. The record was last updated on Apr 15, 2012.