Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan James Hargrave

Individual provider Licensed Practical Nurse · NPI 1528945284

Ethan James Hargrave is a Licensed Practical Nurse in Penn Yan, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1793 Outlet Rd
Penn Yan, NY 14527-8750
Phone: (302) 494-7186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 354023 (NY)

Record details

NPI number1528945284
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 16, 2025
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing address45 Hollister St, Dundee, NY 14837-1120

Other providers in Penn Yan