Individual provider · Type 1 NPI

Theodore Yngve Korsgren Iii, LPN

Licensed Practical Nurse · Fairbanks, AK

NPI number 1497942585 Active

Practice location

1717 W. Cowles St.
Fairbanks, AK 99701-5903

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5364 (AK)

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 1497942585

Theodore Yngve Korsgren Iii, LPN's National Provider Identifier is 1497942585, issued on Oct 2, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairbanks, AK. The record was last updated on Dec 3, 2012.