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Miss Trista Deloris Clemmer, LPN
Licensed Practical Nurse in Grantsburg, Wisconsin
NPI 1811164122

Trista Deloris Clemmer is a Licensed Practical Nurse based in Grantsburg, WI. Trista Deloris Clemmer practices in Grantsburg, WI and has the professional credentials of LPN. The NPI Number for Trista Deloris Clemmer is 1811164122 and holds a License No. 306540-031 (Wisconsin).

The current practice location address for Trista Deloris Clemmer is 618 S Church St, Grantsburg, WI and can be reached out via phone at 715-220-1995.

Location: 618 S Church St, Grantsburg, WI, 54840-7866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811164122
Provider Name
Trista Deloris Clemmer
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
618 S Church St, Grantsburg, WI, 54840-7866
Phone Number
715-220-1995
Fax Number
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3950845470 05 WI
institution
Provider Business Practice Location Address Details
Address
618 S Church St
City
Grantsburg
State
Wisconsin
Zip
54840-7866
Phone Number
715-220-1995
Fax Number
person
Provider Business Mailing Address Details
Address
618 S Church St
City
Grantsburg
State
Wisconsin
Zip
54840-7866
Phone Number
715-220-1995
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
306540-031 (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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