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

MISS TRISTA DELORIS CLEMMER, LPN

Active Sole Proprietor

MISS TRISTA DELORIS CLEMMER, LPN is a Licensed Practical Nurse healthcare provider located in GRANTSBURG, Wisconsin. NPI 1811164122 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GRANTSBURG, WI

Registration Details

NPI Number
1811164122
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2008 (18.235289326508 yrs)
Last Updated
May 15, 2008
License
306540-031 (WI)
Sole Proprietor
Yes

Practice Information

Address
618 S CHURCH ST
GRANTSBURG, WI, 548407866
Browse WI providers · Browse ZIP 54840
Phone
7152201995
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in GRANTSBURG, WI

Name Credential NPI
MRS. JENNA SUE FICKBOHM L.P.N 1902102916
SANDRA LEIGH OACHS LPN 1134505597
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.