Individual provider · Type 1 NPI

Shirley Jean Gragg, LPN II, NREMT-B, CIC-C

Licensed Practical Nurse · Pueblo, CO

NPI number 1366973109 Active

Practice location

2118 Chatalet Ln
Pueblo, CO 81005-4625

Call (719) 564-2000 Map

Mailing address

202 La Vista Rd
Pueblo, CO 81005-2619

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XEMT 511744 (FL)
Licensed Practical Nurse Primary 164W00000XPN.0047668 (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.

6 other providers at this address

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About NPI 1366973109

Shirley Jean Gragg, LPN II, NREMT-B, CIC-C's National Provider Identifier is 1366973109, issued on Mar 23, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pueblo, CO. The record was last updated on Mar 23, 2017.