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Sandra Yvonne Gantt, LPN
Licensed Practical Nurse in Watertown, New York
NPI 1609173848

Sandra Yvonne Gantt is a Licensed Practical Nurse based in Watertown, NY. Sandra Yvonne Gantt practices in Watertown, NY and has the professional credentials of LPN. The NPI Number for Sandra Yvonne Gantt is 1609173848 and holds a License No. 277780 (New York).

The current practice location address for Sandra Yvonne Gantt is 21107 Nys Rt. 12F, Watertown, NY and can be reached out via phone at 315-782-9285.

Location: 21107 Nys Rt. 12F, Watertown, NY, 13601-2344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609173848
Provider Name
Sandra Yvonne Gantt
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
21107 Nys Rt. 12F, Watertown, NY, 13601-2344
Phone Number
315-782-9285
Fax Number
Provider Enumeration Date
02/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21107 Nys Rt. 12F
City
Watertown
State
New York
Zip
13601
Phone Number
315-782-9285
Fax Number
person
Provider Business Mailing Address Details
Address
21107 Nys Rt. 12F
City
Watertown
State
New York
Zip
13601
Phone Number
315-782-9285
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
277780 (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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