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

ETHAN JAMES HARGRAVE

Active Sole Proprietor

ETHAN JAMES HARGRAVE is a Licensed Practical Nurse healthcare provider located in PENN YAN, New York. NPI 1528945284 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · PENN YAN, NY

Registration Details

NPI Number
1528945284
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2025 (0.81282357226202 yrs)
Last Updated
Aug 16, 2025
License
354023 (NY)
Sole Proprietor
Yes

Practice Information

Address
1793 OUTLET RD
PENN YAN, NY, 145278750
Browse NY providers · Browse ZIP 14527
Phone
3024947186
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in PENN YAN, NY

Name Credential NPI
LINDA GAVIGAN 1356517635
MRS. ANN M MURPHY LPN 1073758132
MISS MICHELLE LYNN MORRIS LPN 1255647988
NORENE M. PARKHURST LPN 1831461177
AMANDA HOTALING 1740658517
CAITLYN EGGLESTON 1699223008
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.