Mr. Glen Steven Rudolph I

LPN | Licensed Practical Nurse

3 Siwanoy Ln, Plattsburgh
  New York, 12901-6818
518-542-2276
Mr. Glen Steven Rudolph I is a Plattsburgh, New York based nurse who is specialized as Licensed Practical Nurse (LPN). Active license number of Mr. Glen Steven Rudolph I is 264671-1 for Licensed Practical Nurse (LPN) in New York. Current practice location of Mr. Glen Steven Rudolph I is 3 Siwanoy Ln, Plattsburgh. Patients can reach him at 518-542-2276. Mr. Glen Steven Rudolph I is LPN with specialization in Licensed Practical Nurse (LPN) and his NPI number (Unique professional ID assigned by NPPES) is 1386819571.
Mr. Glen Steven Rudolph I is a state-licensed healthcare professional who provides basic nursing care to patients such as monitoring vitals, dressing wounds, and administering medication etc. under the supervision of a Registered Nurse (RN) or physician. LPNs are direct link between a patient, their family and their doctor and other providers. LPNs typically work in clinics, hospitals, nursing homes, rehabilitation centers, and home healthcare etc.

Complete Profile:
Mr. Glen Steven Rudolph I speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Licensed Practical Nurse (LPN)
Credentials: LPN
Gender:Male
Practice Address:3 Siwanoy Ln, Plattsburgh,
New York, 12901-6818
Phone:518-542-2276
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1386819571
NPI Enumeration Date: 28 Apr, 2008
NPI Last Update On: 28 Apr, 2008

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Glen Steven Rudolph I are as mentioned below.
License NumberSpecializationStateStatus
264671-1Licensed Practical Nurse (LPN) New YorkPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Glen Steven Rudolph I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
02085918MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3 Siwanoy Ln,
Plattsburgh, New York
Zip: 12901-6818
Phone Number: 518-542-2276
Patients can reach Mr. Glen Steven Rudolph I at 3 Siwanoy Ln, Plattsburgh, New York or can call to book an appointment on 518-542-2276.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.