Individual provider · Type 1 NPI
Kenyatta Brigchelle Vaccaro
Licensed Practical Nurse · Madison, WI
NPI number
1245937382
Active
Practice location
3113 E Washington Ave
Madison, WI 53704-4330
Mailing address
1517 Trailsway Apt 3
Madison, WI 53704-2934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 311553-31 (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 1245937382
Kenyatta Brigchelle Vaccaro's National Provider Identifier is 1245937382, issued on Feb 9, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, WI. The record was last updated on Feb 9, 2023.