Individual provider · Type 1 NPI

Desiree L. Grubb

Licensed Practical Nurse · Bronx, NY

NPI number 1689964017 Active

Practice location

781 E 142nd St
Bronx, NY 10454-1723

Mailing address

1905 Strang Ave, #1
Bronx, NY 10466-2357

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X282148 (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 1689964017

Desiree L. Grubb's National Provider Identifier is 1689964017, issued on Apr 19, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Apr 19, 2011.