Individual provider · Type 1 NPI
Kayla Charlene Van Cleve, RN
Adult Day Care Clinic/Center · Crandon, WI
NPI number
1285447920
Active
Practice location
605 S Forest Ave
Crandon, WI 54520-1703
Fax (262) 221-2206
Mailing address
501 E Grant St
Crandon, WI 54520-1673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 221168 (WI) |
| Adult Day Care Clinic/Center Primary | 261QA0600X | 0020610 (WI) |
Adult Day Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1285447920
Kayla Charlene Van Cleve, RN's National Provider Identifier is 1285447920, issued on Jan 28, 2025. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Crandon, WI. The record was last updated on Jan 28, 2025.