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Carla Mahmud
Licensed Practical Nurse in Kenosha, Wisconsin
NPI 1689374704

Carla Mahmud is a Licensed Practical Nurse based in North Chicago, WI. Carla Mahmud practices in Kenosha, WI. The NPI Number for Carla Mahmud is 1689374704 and holds a License No. 043103091 (Wisconsin).

The current practice location address for Carla Mahmud is 8207 22Nd Ave, Kenosha, WI and can be reached out via phone at 224-610-8900.

Location: 8207 22Nd Ave, Kenosha, WI, 60064-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689374704
Provider Name
Carla Mahmud
Credential
Provider Entity Type
Individual
Gender
Female
Address
8207 22Nd Ave, Kenosha, WI, 60064-3048
Phone Number
224-610-8900
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8207 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53143-6206
Phone Number
224-610-8900
Fax Number
person
Provider Business Mailing Address Details
Address
8207 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53143-6206
Phone Number
224-610-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043103091 (Illinois)
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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