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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN STEVEN RUDOLPH I, LPN

Active Sole Proprietor

MR. GLEN STEVEN RUDOLPH I, LPN is a Licensed Practical Nurse healthcare provider located in PLATTSBURGH, New York. NPI 1386819571 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · PLATTSBURGH, NY

Registration Details

NPI Number
1386819571
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2008 (18.151833942097 yrs)
Last Updated
Apr 28, 2008
License
264671-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
3 SIWANOY LN
PLATTSBURGH, NY, 129016818
Browse NY providers · Browse ZIP 12901
Phone
5185422276
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in PLATTSBURGH, NY

Name Credential NPI
MISS MICHELLE MARGARET RABIDEAU LPN 1861681843
MS. NATHALIE MYRTHO BAPTISTE LPN 1508047366
KARA LYNNE CARTER LPN 1407097595
CORTNEY BRIANNA BUSHEY LPN 1740517853
JENNY REBECCA SCULLY LPN 1255668927
CHASITY MARIE RIVERS LPN 1649571308
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.