Individual provider · Type 1 NPI

Sally Jo Marie Iverson, LPN

Licensed Practical Nurse · Hayward, WI

NPI number 1033059746 Active

Practice location

10369 State Hwy 27
Hayward, WI 54843

Mailing address

10369 St Hwy 27
Hayward, WI 54843

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X305181-31 (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.

About NPI 1033059746

Sally Jo Marie Iverson, LPN's National Provider Identifier is 1033059746, issued on Mar 31, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hayward, WI. The record was last updated on Mar 31, 2026.