Katherine Ann Bongel in Green Bay - Licensed Practical Nurse

Katherine Ann Bongel - NPI 1497929491

Katherine Ann Bongel is a Licensed Practical Nurse in Green Bay, Wisconsin. Katherine Ann Bongel practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Katherine Ann Bongel is 1497929491. The last update date is 2008-04-22.

Katherine Ann Bongel's current location address is 133 S Oneida St, Green Bay, Wisconsin. You can contact this provider via phone number 9204947551. The mailing address for Katherine Ann Bongel is 133 S Oneida St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine Ann Bongel
Address 133 S Oneida St, Green Bay, Wisconsin
Phone Number 9204947551
Fax Number
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1497929491
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 133 S Oneida St
City Green Bay
State Wisconsin (WI)
Post Code 543031920
Phone Number 9204947551
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 11076031
Definition:
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 r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35042500 WI --

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FAQs about Katherine Ann Bongel

What is the unique identification code assigned to Katherine Ann Bongel by the Centers for Medicare & Medicaid Services?

The Katherine Ann Bongel has been issued the NPI (National Provider Identifier) 1497929491. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Katherine Ann Bongel is located?

The Katherine Ann Bongel is situated at the following address: 133 S Oneida St, Green Bay, WI, 543031920.

What is Katherine Ann Bongel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Katherine Ann Bongel is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.

On what date was the 1497929491 assigned to Katherine Ann Bongel?

The Katherine Ann Bongel was issued its 1497929491 on 2008-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Katherine Ann Bongel last refreshed?

The information related to the Katherine Ann Bongel, including its address, specialty, and other relevant details, was last updated on 2008-04-22.

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