Individual provider · Type 1 NPI

Wali Khateeb Shakoor-Luqman I, RN

Registered Nurse · Racine, WI

NPI number 1285894147 Active

Practice location

1513 Roosevelt Ave
Racine, WI 53406-4572

Fax (262) 632-1113

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	145431-030 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1285894147

Wali Khateeb Shakoor-Luqman I, RN's National Provider Identifier is 1285894147, issued on Jun 13, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Racine, WI. The record was last updated on Jun 13, 2008.