Individual provider · Type 1 NPI

Glen Steven Rudolph I, LPN

Licensed Practical Nurse · Plattsburgh, NY

NPI number 1386819571 Active

Practice location

3 Siwanoy Ln
Plattsburgh, NY 12901-6818

Call (518) 542-2276 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X264671-1 (NY)

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 1386819571

Glen Steven Rudolph I, LPN's National Provider Identifier is 1386819571, issued on Apr 28, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plattsburgh, NY. The record was last updated on Apr 28, 2008.