Catherine Ann Gold-Glover, LPN
Individual provider Active NPI Licensed Practical Nurse · Bradner, OH
NPI 1427365980 · NPPES record last updated Sep 4, 2010
Key facts
- NPI
- 1427365980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN105594 IV (OH)
- Practice address
- 12321 Bradner Rd
Bradner, OH 43406-9730 - Phone
- (419) 288-3436
- Fax
- (419) 288-3436
- NPI assigned
- Sep 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN105594 IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN105594 IV | OH | Yes |
Addresses
Primary practice location
12321 Bradner Rd
Bradner, OH 43406-9730
Mailing address
12321 Bradner Rd
Bradner, OH 43406-9730
Phone (419) 288-3436
Other providers in Bradner, OH
All providers in Bradner, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.