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Jose M. Botello JR., LPN
Licensed Practical Nurse in Jefferson, Wisconsin
NPI 1891022554

Jose M. Botello JR. is a Licensed Practical Nurse based in Jefferson, WI. Jose M. Botello JR. practices in Jefferson, WI and has the professional credentials of LPN. The NPI Number for Jose M. Botello JR. is 1891022554 and holds a License No. 306116-031 (Wisconsin).

The current practice location address for Jose M. Botello JR. is 128 Deer Creek Ct, Jefferson, WI and can be reached out via phone at 920-397-0152.

Location: 128 Deer Creek Ct, Jefferson, WI, 53549-1188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891022554
Provider Name
Jose M. Botello JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
128 Deer Creek Ct, Jefferson, WI, 53549-1188
Phone Number
920-397-0152
Fax Number
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 Deer Creek Ct
City
Jefferson
State
Wisconsin
Zip
53549-1188
Phone Number
920-397-0152
Fax Number
person
Provider Business Mailing Address Details
Address
128 Deer Creek Ct
City
Jefferson
State
Wisconsin
Zip
53549-1188
Phone Number
920-397-0152
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
306116-031 (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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