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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLEEN MAE BUWALDA, L.P.N.

Active Sole Proprietor

MRS. KATHLEEN MAE BUWALDA, L.P.N. is a Licensed Practical Nurse healthcare provider located in WAUPUN, Wisconsin. NPI 1104183219 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WAUPUN, WI

Registration Details

NPI Number
1104183219
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2012 (14.155478490872 yrs)
Last Updated
Apr 13, 2012
License
303291-031 (WI)
Sole Proprietor
Yes

Practice Information

Address
W13546 MARSHVIEW RD
WAUPUN, WI, 539639733
Browse WI providers · Browse ZIP 53963
Phone
9203249948
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WAUPUN, WI

Name Credential NPI
MS. AMY J. TISDALE LPN 1245463199
TIFFANY HIDDE 1871854877
BRENDA LEE MARQUARD LPN 1164108171
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.