Individual provider · Type 1 NPI
Robert Earl Wildwood, LPN
Licensed Practical Nurse · Duluth, MN
NPI number
1639845795
Active
Practice location
935 Kenwood Ave
Duluth, MN 55811-4951
Mailing address
1225 E 11th St
Duluth, MN 55805-1559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 822435 (MN) |
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.
2 other providers at this address
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About NPI 1639845795
Robert Earl Wildwood, LPN's National Provider Identifier is 1639845795, issued on Aug 19, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Duluth, MN. The record was last updated on Aug 19, 2021.