Individual provider · Type 1 NPI
Tina Brown
Licensed Practical Nurse · Fox Lake, WI
NPI number
1578810685
Active
Practice location
211 Spring St
Fox Lake, WI 53933-8034
Mailing address
PO Box 380
Fox Lake, WI 53933-0380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 316033-31 (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.
About NPI 1578810685
Tina Brown's National Provider Identifier is 1578810685, issued on Aug 8, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fox Lake, WI. The record was last updated on Aug 8, 2012.