Independent Nurse
NPI #1245209196 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1245209196
- Entity Type
- Organization
- Organization Name
- Independent Nurse
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11226 W JANESVILLE RD
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2401
- Phone
- (414) 525-0515
Authorized Official
- Name
- MS. SHARON MARIE BLOMDAHL, LPN/RCS
- Title
- VENTILATOR NURSE
- Phone
- (414) 525-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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