Individual provider · Type 1 NPI

Susie Gladden

Licensed Practical Nurse · Patchogue, NY

NPI number 1780280552 Active

Practice location

1 Park Ave Apt 5
Patchogue, NY 11772-2274

Call (631) 310-2296 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331961 (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 1780280552

Susie Gladden's National Provider Identifier is 1780280552, issued on Dec 8, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Patchogue, NY. The record was last updated on Dec 8, 2020.