SearchWisconsinLicensed Practical Nurse

Demi Randall

NPI 1679098867 · on the registry since 2017 · sole proprietor

Practice

Address
W7530 Shorewood Ter
Delavan, WI 53115
Phone
(320) 428-5836
Fax
(320) 428-5836

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
2017-08-08

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