Individual provider · Type 1 NPI

Gloria Smith

Licensed Practical Nurse · Willoughby, OH

NPI number 1811529548 Active

Practice location

38882 Mentor Ave
Willoughby, OH 44094-7875

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.173558.MEDS-IV (OH)

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 1811529548

Gloria Smith's National Provider Identifier is 1811529548, issued on Feb 11, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willoughby, OH. The record was last updated on Jul 22, 2024.