Individual provider · Type 1 NPI

Betty Wake, LPN

Licensed Practical Nurse · Green Bay, WI

NPI number 1356097919 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321460-31 (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 1356097919

Betty Wake, LPN's National Provider Identifier is 1356097919, issued on Feb 23, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Green Bay, WI. The record was last updated on Feb 23, 2022.