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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 305181-31 (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.