Individual provider · Type 1 NPI

Ryatisima Tishara Blue, LPN

Licensed Practical Nurse · Whitewater, WI

NPI number 1568720795 Active

Practice location

1130 Bloomingfield Dr Apt 19
Whitewater, WI 53190-2652

Call (262) 215-3379 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302318-31 (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 1568720795

Ryatisima Tishara Blue, LPN's National Provider Identifier is 1568720795, issued on Apr 25, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Whitewater, WI. The record was last updated on Apr 25, 2012.