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Kenyatta Brigchelle Vaccaro
Licensed Practical Nurse in Madison, Wisconsin
NPI 1245937382

Kenyatta Brigchelle Vaccaro is a Licensed Practical Nurse based in Madison, WI. Kenyatta Brigchelle Vaccaro practices in Madison, WI. The NPI Number for Kenyatta Brigchelle Vaccaro is 1245937382 and holds a License No. 311553-31 (Wisconsin).

The current practice location address for Kenyatta Brigchelle Vaccaro is 3113 E Washington Ave, Madison, WI and can be reached out via phone at 608-416-5777.

Location: 3113 E Washington Ave, Madison, WI, 53704-2934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245937382
Provider Name
Kenyatta Brigchelle Vaccaro
Credential
Provider Entity Type
Individual
Gender
Female
Address
3113 E Washington Ave, Madison, WI, 53704-2934
Phone Number
608-416-5777
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3113 E Washington Ave
City
Madison
State
Wisconsin
Zip
53704-4330
Phone Number
608-416-5777
Fax Number
person
Provider Business Mailing Address Details
Address
3113 E Washington Ave
City
Madison
State
Wisconsin
Zip
53704-4330
Phone Number
608-416-5777
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311553-31 (Wisconsin)
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.
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