Individual provider · Type 1 NPI

Elise Madjo Gaston, LPN

Licensed Practical Nurse · Herndon, VA

NPI number 1558636019 Active

Practice location

12903 Pinecrest Rd
Herndon, VA 20171-2601

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002085420 (VA)
Nurse's Aide 376K00000X1401140286 (VA)

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 1558636019

Elise Madjo Gaston, LPN's National Provider Identifier is 1558636019, issued on Mar 16, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Herndon, VA. The record was last updated on Mar 16, 2012.