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Betty Wake, LPN
Licensed Practical Nurse in Green Bay, Wisconsin
NPI 1356097919

Betty Wake is a Licensed Practical Nurse based in Green Bay, WI. Betty Wake practices in Green Bay, WI and has the professional credentials of LPN. The NPI Number for Betty Wake is 1356097919 and holds a License No. 321460-31 (Wisconsin).

The current practice location address for Betty Wake is 2357 W Mason St, Green Bay, WI and can be reached out via phone at 920-337-6740.

Location: 2357 W Mason St, Green Bay, WI, 54303-4708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356097919
Provider Name
Betty Wake
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2357 W Mason St, Green Bay, WI, 54303-4708
Phone Number
920-337-6740
Fax Number
Provider Enumeration Date
02/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42030700 05 WI
institution
Provider Business Practice Location Address Details
Address
2357 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4708
Phone Number
920-337-6740
Fax Number
person
Provider Business Mailing Address Details
Address
2357 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4708
Phone Number
920-337-6740
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
321460-31 (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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