Search › Wisconsin › Licensed Practical Nurse
Samantha Dates
NPI 1538767355 · on the registry since 2020
Practice
- Address
- N8273 E Friesland Rd
Randolph, WI 53956 - Phone
- (920) 296-7067
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin