Individual provider · Type 1 NPI
Gordon Eden
Licensed Practical Nurse · Roscommon, MI
NPI number
1891216339
Active
Practice location
305 N 5th St
Roscommon, MI 48653-2508
Mailing address
5701 Wellington Way
Grayling, MI 49738-6727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703097029 (MI) |
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.
Other licensed practical nurse providers in Roscommon
About NPI 1891216339
Gordon Eden's National Provider Identifier is 1891216339, issued on Jul 6, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roscommon, MI. The record was last updated on Jul 6, 2017.