Doctor Name: | MARTIN B GAWRON |
NPI Number: | 1013283225 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 025.0054121 |
Business Practice Address: | 390 River St Springfield, VT - 051562226 |
Business Phone Number: | 8028864500 |
Business Fax Number: | 8028864520 |
Mailing Address: | 390 River St, SPRINGFIELD |
State: | VT |
Postal Code: | 051562226 |
Phone Number: | 8028864500 |
Fax Number: | 8028864520 |
NPI Enumeration Date: | 04/02/2012 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 025.0054121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |