Kathleen Ann Dittmar in Webster - Licensed Practical Nurse

Kathleen Ann Dittmar - NPI 1821138066

Kathleen Ann Dittmar is a Licensed Practical Nurse in Webster, Wisconsin. Kathleen Ann Dittmar practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kathleen Ann Dittmar is 1821138066. The last update date is 2007-07-08.

Kathleen Ann Dittmar's current location address is Po Box 153, Webster, Wisconsin. You can contact this provider via phone number 7158664181. The mailing address for Kathleen Ann Dittmar is Po Box 153, Webster, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Ann Dittmar
Address Po Box 153, Webster, Wisconsin
Phone Number 7158664181
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1821138066
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 153
City Webster
State Wisconsin (WI)
Post Code 548930153
Phone Number 7158664181
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 34135-031
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
34135-031 WI LICENSED PRACTICAL NURSE

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FAQs about Kathleen Ann Dittmar

What is the unique 10-digit identifier code assigned to Kathleen Ann Dittmar by the Centers for Medicare & Medicaid Services?

The Kathleen Ann Dittmar has been issued the NPI (National Provider Identifier) 1821138066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kathleen Ann Dittmar is physically located?

The Kathleen Ann Dittmar is situated at the following address: Po Box 153, Webster, WI 548930153.

What is the Kathleen Ann Dittmar's specialty and taxonomy code?

The Kathleen Ann Dittmar's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.

On what date did the Kathleen Ann Dittmar receive the assignment of its 1821138066 from the Centers for Medicare & Medicaid Services?

The Kathleen Ann Dittmar was issued its 1821138066 by the Centers for Medicare & Medicaid Services on 2007-02-07.

When was the Kathleen Ann Dittmar's information last updated?

The Kathleen Ann Dittmar's information was last updated on 2007-07-08.

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