Myrna J Conway LPN

NPI 1649470980 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1649470980
Gender Female
Enumeration Date 07/24/2007
Last Updated 07/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
272 W 14TH ST
BUFFALO CITY WI, 54622-7186, US
Phone (608) 248-3470
Fax
Business Location
272 W 14TH ST
BUFFALO CITY WI, 54622-7186, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 107535
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According to our database, Myrna J Conway LPN NPI is 1649470980, taxonomy code is 164W00000X and license number is 107535, license state is located at Wisconsin. Myrna J Conway LPN physically located at 272 W 14th St, Buffalo City WI, 54622-7186. NPI Number Myrna J Conway LPN has the Individual type.

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1649470980 NPI number is provided on an as is basis without warranty of any kind. 1649470980 is maintained by the National Plan & Provider Enumeration System. The contents of Myrna J Conway LPN are for informational purposes only.