Individual provider · Type 1 NPI

Carole Dense Grady-Mitchell, LPN

Licensed Practical Nurse · Ithaca, NY

NPI number 1669331104 Active

Practice location

412 Winston Ct Apt 4
Ithaca, NY 14850-1959

Call (315) 708-1650 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X263190-01 (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 1669331104

Carole Dense Grady-Mitchell, LPN's National Provider Identifier is 1669331104, issued on Jan 20, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ithaca, NY. The record was last updated on Jan 20, 2026.