Individual
VINETTA RENEE GLADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8348 IDAHO AVE N, BROOKLYN PARK, MN 55445-2236
(612) 743-0458
Mailing address
8348 IDAHO AVE N, BROOKLYN PARK, MN 55445-2236
(612) 743-0458
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L064236-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L064236-1
BOARD OF NURSING LICENSE
MN
Enumeration date
06/25/2010
Last updated
06/25/2010
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