Individual provider · Type 1 NPI

Theresa Faller

Licensed Practical Nurse · Milwaukee, WI

NPI number 1003262742 Active

Practice location

4800 S 10th St
Milwaukee, WI 53221-2412

Fax (414) 744-9052

Mailing address

5956 S Kingan Ave Apt 8
Cudahy, WI 53110-3448

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301751-31 (WI)

Licensed Practical Nurse: 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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About NPI 1003262742

Theresa Faller's National Provider Identifier is 1003262742, issued on May 12, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 12, 2016.