National Provider Identifier

Tammy Lynn Grodon, LPN

Tammy Lynn Grodon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Belmont, NY and a listed phone number of (585) 268-7003.

NPI 1467767517Belmont, NYLicensed Practical Nurse

Profile Overview

NPI
1467767517
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 13, 2010
Last Updated
August 13, 2010

Practice Location

  • 4638 Nobles RD
  • Belmont, NY 14813-9722

Phone: (585) 268-7003

Mailing Address

  • PO Box 427
  • Angelica, NY 14709-0427

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1467767517
Entity Type
Individual
Last Name
Grodon
First Name
Tammy
Middle Name
Lynn
Credential
LPN
Mailing Street Address
PO Box 427
Mailing City
Angelica
Mailing State
NY
Mailing ZIP Code
14709-0427
Mailing Country
US
Mailing Phone
(585) 808-8213
Practice Street Address
4638 Nobles RD
Practice City
Belmont
Practice State
NY
Practice ZIP Code
14813-9722
Practice Country
US
Practice Phone
(585) 268-7003
Enumeration Date
August 13, 2010
Last Updated
August 13, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)