NANCEE MICHELLE LIGHT LPN
NPI 1396157087
Licensed Practical Nurse in St. Paul, MN

Active since May 29, 2014
1919 UNIVERSITY AVE., STE. 130, ST. PAUL, MN 55104(651) 647-0017(651) 647-3423 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nancee Michelle Light Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCEE MICHELLE LIGHT LPN (NPI 1396157087) is an individual licensed practical nurse in St. Paul, Minnesota, licensed in Minnesota (L054121-3) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1396157087
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNANCEE MICHELLE LIGHTCredential: LPN
Location Address1919 UNIVERSITY AVE., STE. 130St. Paul, MN 55104
Mailing Address1919 University Ave., Ste. 130St. Paul, MN 55104 · (651) 647-0017 · Fax (651) 647-3423
Fax(651) 647-3423
Sole ProprietorNo
Enumeration DateMay 29, 2014
NPI 1396157087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · L054121-3
Definition

A licensed practical nurse 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.

1919 UNIVERSITY AVE., STE. 130, St. Paul, MN 55104

Other Identifiers 1

Medicare OSCAR/certification248030

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
1919 UNIVERSITY AVE., STE. 130
ST. PAUL, MN 55104
Registered Nurse (Home Health)
1919 UNIVERSITY AVE., STE. 130
ST. PAUL, MN 55104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396157087, enumerated as an "individual" on May 29, 2014.

The provider is located at 1919 UNIVERSITY AVE., STE. 130 ST. PAUL, MN 55104 and the phone number is (651) 647-0017.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.