Connie Lee Gable, LPN
Individual provider Active NPI Licensed Practical Nurse · Watertown, MN
NPI 1851661763 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1851661763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L46360-5 (MN)
- Practice address
- 317 Ortloff TRL NW
Watertown, MN 55388-9102 - Phone
- (952) 237-2834
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| L46360-5 | MN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L46360-5 | MN | Yes |
Addresses
Primary practice location
317 Ortloff TRL NW
Watertown, MN 55388-9102
Mailing address
317 Ortloff TRL NW
Watertown, MN 55388-9102
Other providers in Watertown, MN
- Don Sealock, O.D., P.a.
- Dennis Edward Eickhoff
- Elim Homes, Inc.
- Andrew Curtis Engebretson
- Bailey Farrell
- Kraig A Geraets
- Ryan Dean Goetz
- Robert Thomas Griffith
- Heart Counseling PLLC
- Kym Sue Howe
All providers in Watertown, MN · Licensed Practical Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. 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.