Individual provider · Type 1 NPI
Natasha Maire Bubolz, LPN
Licensed Practical Nurse · Gillett, WI
NPI number
1689380461
Active
Practice location
14386 Warrington Lake Dr
Gillett, WI 54124-9793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 325780 (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 1689380461
Natasha Maire Bubolz, LPN's National Provider Identifier is 1689380461, issued on Jan 25, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gillett, WI. The record was last updated on Jan 25, 2023.