Individual provider · Type 1 NPI

Robert Gaston

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1508245259 Active

Practice location

665 Powers Ave NW
Grand Rapids, MI 49504-5058

Call (616) 304-5310 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703094665 (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 1508245259

Robert Gaston's National Provider Identifier is 1508245259, issued on May 28, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 28, 2015.