Individual provider · Type 1 NPI

Skye Gasidlo

Licensed Practical Nurse · Riverview, MI

NPI number 1457718017 Active

Practice location

20453 Maplewood St
Riverview, MI 48193-7927

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703107607 (MI)

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 1457718017

Skye Gasidlo's National Provider Identifier is 1457718017, issued on Jan 26, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Riverview, MI. The record was last updated on Jan 26, 2016.