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Shirley Jean Gragg, LPNII,NREMT-B,CIC-C
Licensed Practical Nurse in Pueblo, Colorado
NPI 1366973109

Shirley Jean Gragg is a Licensed Practical Nurse based in Pueblo, CO. Shirley Jean Gragg practices in Pueblo, CO and has the professional credentials of LPNII,NREMT-B,CIC-C. The NPI Number for Shirley Jean Gragg is 1366973109 and holds a License No. EMT 511744 (Colorado).

The current practice location address for Shirley Jean Gragg is 2118 Chatalet Ln, Pueblo, CO and can be reached out via phone at 719-564-2000. You can also correspond with Shirley Jean Gragg through the mailing address at 202 LA VISTA RD, PUEBLO, CO - 81005-2619 (mailing address contact number: 719-334-6584).

Location: 2118 Chatalet Ln, Pueblo, CO, 81005-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366973109
Provider Name
Shirley Jean Gragg
Credential
LPNII,NREMT-B,CIC-C
Provider Entity Type
Individual
Gender
Female
Address
2118 Chatalet Ln, Pueblo, CO, 81005-2619
Phone Number
719-564-2000
Fax Number
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2118 Chatalet Ln
City
Pueblo
State
Colorado
Zip
81005-4625
Phone Number
719-564-2000
Fax Number
person
Provider Business Mailing Address Details
Address
202 La Vista Rd
City
Pueblo
State
Colorado
Zip
81005-2619
Phone Number
719-334-6584
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
PN.0047668 (Colorado)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
EMT 511744 (Florida)
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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