Pamela Sue Brucker LPN

NPI 1023254018 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023254018
Gender Female
Enumeration Date 12/23/2008
Last Updated 12/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
W7755 CTY RD V
CASCADE WI, 53011-1234, US
Phone (920) 528-8198
Fax (920) 528-7056
Business Location
W 7755 CTY. RD. V
CASCADE WI, 53011-1234, US
Phone (920) 528-8198
Fax (920) 528-7056
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 14165-031
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According to our database, Mrs. Pamela Sue Brucker LPN NPI is 1023254018, taxonomy code is 164W00000X and license number is 14165-031, license state is located at Wisconsin. Pamela Sue Brucker LPN physically located at W7755 Cty Rd V, Cascade WI, 53011-1234. NPI Number Pamela Sue Brucker LPN has the Individual type.

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1023254018 NPI number is provided on an as is basis without warranty of any kind. 1023254018 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Sue Brucker LPN are for informational purposes only.