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Polly Jean Pahlow, LPN
Licensed Practical Nurse in Pembine, Wisconsin
NPI 1730377367

Polly Jean Pahlow is a Licensed Practical Nurse based in Pembine, WI. Polly Jean Pahlow practices in Pembine, WI and has the professional credentials of LPN. The NPI Number for Polly Jean Pahlow is 1730377367 and holds a License No. (Wisconsin).

The current practice location address for Polly Jean Pahlow is W10752 Blueberry Point Rd, Pembine, WI and can be reached out via phone at 561-244-5846.

Location: W10752 Blueberry Point Rd, Pembine, WI, 54119-9251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730377367
Provider Name
Polly Jean Pahlow
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
W10752 Blueberry Point Rd, Pembine, WI, 54119-9251
Phone Number
561-244-5846
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35017700 01 WI MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
W10752 Blueberry Point Rd
City
Pembine
State
Wisconsin
Zip
54119-9251
Phone Number
561-244-5846
Fax Number
person
Provider Business Mailing Address Details
Address
W10752 Blueberry Point Rd
City
Pembine
State
Wisconsin
Zip
54119-9251
Phone Number
561-244-5846
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
(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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