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Ms. Ryatisima Tishara Blue, LPN
Licensed Practical Nurse in Whitewater, Wisconsin
NPI 1568720795

Ryatisima Tishara Blue is a Licensed Practical Nurse based in Whitewater, WI. Ryatisima Tishara Blue practices in Whitewater, WI and has the professional credentials of LPN. The NPI Number for Ryatisima Tishara Blue is 1568720795 and holds a License No. 302318-31 (Wisconsin).

The current practice location address for Ryatisima Tishara Blue is 1130 Bloomingfield Dr Apt 19, Whitewater, WI and can be reached out via phone at 262-215-3379.

Location: 1130 Bloomingfield Dr Apt 19, Whitewater, WI, 53190-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568720795
Provider Name
Ryatisima Tishara Blue
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1130 Bloomingfield Dr Apt 19, Whitewater, WI, 53190-2652
Phone Number
262-215-3379
Fax Number
Provider Enumeration Date
04/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1130 Bloomingfield Dr Apt 19
City
Whitewater
State
Wisconsin
Zip
53190-2652
Phone Number
262-215-3379
Fax Number
person
Provider Business Mailing Address Details
Address
1130 Bloomingfield Dr Apt 19
City
Whitewater
State
Wisconsin
Zip
53190-2652
Phone Number
262-215-3379
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
302318-31 (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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