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Ms. Susie Gladden
Licensed Practical Nurse in Patchogue, New York
NPI 1780280552

Susie Gladden is a Licensed Practical Nurse based in Patchogue, NY. Susie Gladden practices in Patchogue, NY. The NPI Number for Susie Gladden is 1780280552 and holds a License No. 331961 (New York).

The current practice location address for Susie Gladden is 1 Park Ave Apt 5, Patchogue, NY and can be reached out via phone at 631-310-2296.

Location: 1 Park Ave Apt 5, Patchogue, NY, 11772-2274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780280552
Provider Name
Susie Gladden
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Park Ave Apt 5, Patchogue, NY, 11772-2274
Phone Number
631-310-2296
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331961 05 NY
institution
Provider Business Practice Location Address Details
Address
1 Park Ave Apt 5
City
Patchogue
State
New York
Zip
11772-2274
Phone Number
631-310-2296
Fax Number
person
Provider Business Mailing Address Details
Address
1 Park Ave Apt 5
City
Patchogue
State
New York
Zip
11772-2274
Phone Number
631-310-2296
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
331961 (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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