National Provider Identifier Database

SHIRLEY J GRAGG, LPN II,NREMT-B,CIC-C – NPI #1366973109
Licensed Practical Nurse

An individual 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.


Contact Information

SHIRLEY J GRAGG, LPN II,NREMT-B,CIC-C
2118 CHATALET LN
PUEBLO, CO81005-4625
Phone: 719-564-2000
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Emergency Medical Technician, Basic 146N00000X

* Indicates primary specialty

NPI Profile & details for SHIRLEY J GRAGG

NPI Number 1366973109
Credentials LPN II,NREMT-B,CIC-C
Entity Individual
Enumeration date 03/23/2017
Last updated 03/23/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: PN.0047668
  • FL License #: EMT 511744
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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