IndividualActive
Glen Rudolph, LPN
NPI 1386819571 · Licensed Practical Nurse · Plattsburgh, NY
Glen Rudolph, LPN is a Licensed Practical Nurse provider in Plattsburgh, NY (NPI 1386819571).
Provider details
- NPI number
- 1386819571
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 264671-1 (NY)
Practice location
3 Siwanoy Ln
Plattsburgh, NY 12901-6818
Phone: (518) 542-2276
Street-level locationGet directions
Mailing address
3 Siwanoy Ln
Plattsburgh, NY 12901-6818
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2008-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.