Individual provider · Type 1 NPI
Samantha Lynn Hodgman
Licensed Practical Nurse · Madison, WI
NPI number
1639655434
Active
Practice location
5109 World Dairy Dr
Madison, WI 53718-3807
Mailing address
1017 Jana Ln
Madison, WI 53704-7865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 320727 (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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- Terri S. Gray, LPNLicensed Practical Nurse Madison, WI NPI 1033431671
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About NPI 1639655434
Samantha Lynn Hodgman's National Provider Identifier is 1639655434, issued on Jul 14, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, WI. The record was last updated on Jul 14, 2018.