Individual provider · Type 1 NPI

Malisa Ketzner, LPN

Licensed Practical Nurse · Baltimore, MD

NPI number 1801461827 Active

Practice location

8326 Windsor Mill Rd
Baltimore, MD 21244-1112

Call (734) 772-7704 Map

Mailing address

6144 Trumpeter Ln
Ypsilanti, MI 48197-8729

Other practice locations

  • 6144 Trumpeter Ln, Ypsilanti, MI 48197-8729 · (734) 772-7704

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703125119 (MI)

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 1801461827

Malisa Ketzner, LPN's National Provider Identifier is 1801461827, issued on May 21, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baltimore, MD. The record was last updated on May 21, 2021.