Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE MADJO GASTON, LPN
Active Sole ProprietorELISE MADJO GASTON, LPN is a Licensed Practical Nurse healthcare provider located in HERNDON, Virginia. NPI 1558636019 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · HERNDON, VA
Registration Details
- NPI Number
- 1558636019
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2012 (14.419065606985 yrs)
- Last Updated
- Mar 16, 2012
- Licenses
-
0002085420 (VA)1401140286 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12903 PINECREST RDHERNDON, VA, 201712601Browse VA providers · Browse ZIP 20171
- Phone
- 7035972988
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Nurse's Aide
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.