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Tina Marie Keller, LPN
Licensed Practical Nurse in Waukesha, Wisconsin
NPI 1689994261

Tina Marie Keller is a Licensed Practical Nurse based in Waukesha, WI. Tina Marie Keller practices in Waukesha, WI and has the professional credentials of LPN. The NPI Number for Tina Marie Keller is 1689994261 and holds a License No. 306013031 (Wisconsin).

The current practice location address for Tina Marie Keller is 2422 N Grandview Blvd, Waukesha, WI and can be reached out via phone at 262-549-6600 and via fax at 262-549-6698.

Location: 2422 N Grandview Blvd, Waukesha, WI, 53188-6105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689994261
Provider Name
Tina Marie Keller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2422 N Grandview Blvd, Waukesha, WI, 53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2422 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider Business Mailing Address Details
Address
2422 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
306013031 (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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