MRS. KATHLEEN MAE BUWALDA L.P.N.
NPI 1104183219
Licensed Practical Nurse in Waupun, WI

Active since April 13, 2012
W13546 MARSHVIEW RD, WAUPUN, WI 53963(920) 324-9948 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathleen Mae Buwalda L.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN MAE BUWALDA L.P.N. (NPI 1104183219) is an individual licensed practical nurse in Waupun, Wisconsin, licensed in Wisconsin (303291-031) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1104183219
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KATHLEEN MAE BUWALDACredential: L.P.N.
Location AddressW13546 MARSHVIEW RDWaupun, WI 53963-9733
Mailing AddressW13546 Marshview RdWaupun, WI 53963-9733 · (920) 324-9948
Sole ProprietorYes
Enumeration DateApril 13, 2012
NPI 1104183219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 303291-031
Definition
A licensed practical nurse 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 responsibilities vary among the states.
W13546 MARSHVIEW RD, Waupun, WI 53963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Buwalda's NPI number?

The NPI number for Kathleen Buwalda is 1104183219. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Kathleen Buwalda located?

Kathleen Buwalda practices at W13546 Marshview Rd, Waupun, WI 53963. The listed phone number is (920) 324-9948.

What is Kathleen Buwalda's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Buwalda was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.