MR. NICHOLAS JON GRIDER LPN NPI 1306148820

NPI Information

MR. Nicholas Jon Grider, LPN is a licensed practical nurse in Milwaukee, WI. The provider is 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. MR. Nicholas Jon Grider, LPN NPI is 1306148820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3113 N DOUSMAN ST
MILWAUKEE, WI
ZIP 53212-245
Phone: (414) 640-7656
Fax: (414) 374-5364

The enumeration date for this NPI number is 12/4/2010 and was last updated on 12/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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