Individual provider · Type 1 NPI
Misty Rose Gruby, LPN
Licensed Practical Nurse · Westernville, NY
NPI number
1730406828
Active
Practice location
9647 River Rd
Westernville, NY 13486-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 268339-1 (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.
About NPI 1730406828
Misty Rose Gruby, LPN's National Provider Identifier is 1730406828, issued on Apr 28, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Westernville, NY. The record was last updated on Apr 28, 2010.