Individual provider · Type 1 NPI

Kathleen Mae Buwalda, L.P.N.

Licensed Practical Nurse · Waupun, WI

NPI number 1104183219 Active

Practice location

W13546 Marshview Rd
Waupun, WI 53963-9733

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X303291-031 (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 1104183219

Kathleen Mae Buwalda, L.P.N.'s National Provider Identifier is 1104183219, issued on Apr 13, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waupun, WI. The record was last updated on Apr 13, 2012.