GLORIA GRISMORE - NPI 1679969505 - Licensed Practical Nurse in Saint Louis, MO

Q: What is Gloria Grismore's NPI number?

The NPI number for Gloria Grismore is 1679969505. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Q: What is Gloria Grismore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Grismore was last updated on April 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Gloria Grismore NPPES

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

GLORIA GRISMORE (NPI 1679969505) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (017116) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1679969505

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameGLORIA GRISMORE

Location Address11960 WESTLINE INDUSTRIAL DR, STE 201Saint Louis, MO 63146-3209

Mailing Address9400 Westchester DrSaint Louis, MO 63136-5136

Phone(314) 819-0480

Sole ProprietorNo

Enumeration DateApril 7, 2015

✔ NPI 1679969505 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 MO · 017116

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.

11960 WESTLINE INDUSTRIAL DR, Saint Louis, MO 63146

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