Individual provider · Type 1 NPI

Gloria Grismore

Licensed Practical Nurse · St. Louis, MO

NPI number 1679969505 Active

Practice location

11960 Westline Industrial Dr, Ste 201
St. Louis, MO 63146-3209

Call (314) 819-0480 Map

Mailing address

9400 Westchester Dr
St. Louis, MO 63136-5136

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X017116 (MO)

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 1679969505

Gloria Grismore's National Provider Identifier is 1679969505, issued on Apr 7, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 7, 2015.