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Mr. Glen Dale Brady, LPN
Licensed Practical Nurse in Rochester, New York
NPI 1063691533

Glen Dale Brady is a Licensed Practical Nurse based in Rochester, NY. Glen Dale Brady practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Glen Dale Brady is 1063691533 and holds a License No. 231182-1 (New York).

The current practice location address for Glen Dale Brady is 78 Willmont St, Rochester, NY and can be reached out via phone at 585-288-6598.

Location: 78 Willmont St, Rochester, NY, 14609-3620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063691533
Provider Name
Glen Dale Brady
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
78 Willmont St, Rochester, NY, 14609-3620
Phone Number
585-288-6598
Fax Number
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02206848 05 NY
institution
Provider Business Practice Location Address Details
Address
78 Willmont St
City
Rochester
State
New York
Zip
14609-3620
Phone Number
585-288-6598
Fax Number
person
Provider Business Mailing Address Details
Address
78 Willmont St
City
Rochester
State
New York
Zip
14609-3620
Phone Number
585-288-6598
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
231182-1 (New York)
Definition
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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