Individual provider · Type 1 NPI
Molly Sue Kmieciak, LPN
Licensed Practical Nurse · Fridley, MN
Practice location
5981 Main St NE Uppr Apt
Fridley, MN 55432-5442
Mailing address
3401 E Medicine Lake Blvd Ofc 114
Plymouth, MN 55441-2307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 774349 (MN) |
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 1750034633
Molly Sue Kmieciak, LPN's National Provider Identifier is 1750034633, issued on Jan 31, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fridley, MN. The record was last updated on Jan 31, 2022.