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Natasha Maire Bubolz, LPN
Licensed Practical Nurse in Gillett, Wisconsin
NPI 1689380461

Natasha Maire Bubolz is a Licensed Practical Nurse based in Gillett, WI. Natasha Maire Bubolz practices in Gillett, WI and has the professional credentials of LPN. The NPI Number for Natasha Maire Bubolz is 1689380461 and holds a License No. 325780 (Wisconsin).

The current practice location address for Natasha Maire Bubolz is 14386 Warrington Lake Dr, Gillett, WI and can be reached out via phone at 920-598-0712.

Location: 14386 Warrington Lake Dr, Gillett, WI, 54124-9793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689380461
Provider Name
Natasha Maire Bubolz
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
14386 Warrington Lake Dr, Gillett, WI, 54124-9793
Phone Number
920-598-0712
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14386 Warrington Lake Dr
City
Gillett
State
Wisconsin
Zip
54124-9793
Phone Number
920-598-0712
Fax Number
person
Provider Business Mailing Address Details
Address
14386 Warrington Lake Dr
City
Gillett
State
Wisconsin
Zip
54124-9793
Phone Number
920-598-0712
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
325780 (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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