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Ms. Nancy Carla Sullivan, LPN
Licensed Practical Nurse in Racine, Wisconsin
NPI 1700135910

Nancy Carla Sullivan is a Licensed Practical Nurse based in Racine, WI. Nancy Carla Sullivan practices in Racine, WI and has the professional credentials of LPN. The NPI Number for Nancy Carla Sullivan is 1700135910 and holds a License No. 134413 (Wisconsin).

The current practice location address for Nancy Carla Sullivan is 2000 Domanik Dr, Racine, WI and can be reached out via phone at 262-633-4800 and via fax at 262-633-5999.

Location: 2000 Domanik Dr, Racine, WI, 53404-2910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700135910
Provider Name
Nancy Carla Sullivan
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2000 Domanik Dr, Racine, WI, 53404-2910
Phone Number
262-633-4800
Fax Number
262-633-5999
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 Domanik Dr
City
Racine
State
Wisconsin
Zip
53404-2910
Phone Number
262-633-4800
Fax Number
262-633-5999
person
Provider Business Mailing Address Details
Address
2000 Domanik Dr
City
Racine
State
Wisconsin
Zip
53404-2910
Phone Number
262-633-4800
Fax Number
262-633-5999
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
134413 (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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