Glen Steven Rudolph in Plattsburgh - Licensed Practical Nurse
Glen Steven Rudolph - NPI 1386819571
Glen Steven Rudolph is a Licensed Practical Nurse in Plattsburgh, New York. Glen Steven Rudolph practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Glen Steven Rudolph is 1386819571. The last update date is 2008-04-28.
Glen Steven Rudolph's current location address is 3 Siwanoy Ln, Plattsburgh, New York. You can contact this provider via phone number 5185422276. The mailing address for Glen Steven Rudolph is 3 Siwanoy Ln, Plattsburgh, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Steven Rudolph |
|---|---|
| Address | 3 Siwanoy Ln, Plattsburgh, New York |
| Phone Number | 5185422276 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1386819571 |
|---|---|
| Provider Enumeration Date | 2008-04-28 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 3 Siwanoy Ln |
|---|---|
| City | Plattsburgh |
| State | New York (NY) |
| Post Code | 129016818 |
| Phone Number | 5185422276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 264671-1 |
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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 r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2085918 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glen Steven Rudolph by the Centers for Medicare & Medicaid Services (CMS)?
The Glen Steven Rudolph has been assigned the NPI (National Provider Identifier) 1386819571. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Glen Steven Rudolph is located?
The Glen Steven Rudolph is situated at the following address: 3 Siwanoy Ln, Plattsburgh, NY, 129016818.
What is the area of specialization for Glen Steven Rudolph, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen Steven Rudolph is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386819571 to Glen Steven Rudolph?
The Glen Steven Rudolph received its 1386819571 assignment from the Centers for Medicare & Medicaid Services on 2008-04-28.
As of what date were the details pertaining to Glen Steven Rudolph last refreshed?
The information related to the Glen Steven Rudolph, including its address, specialty, and other relevant details, was last updated on 2008-04-28.