Individual provider · Type 1 NPI
Kelly Dahlman Grossman, LPN
Licensed Practical Nurse · Roscoe, NY
NPI number
1881097749
Active
Practice location
15 Park Ave
Roscoe, NY 12776-6414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 290180-1 (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 1881097749
Kelly Dahlman Grossman, LPN's National Provider Identifier is 1881097749, issued on Oct 6, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roscoe, NY. The record was last updated on Oct 6, 2014.