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RANDAL GEREAU LPN
NPI 1275825077
Licensed Practical Nurse in Plymouth, WI

Active since May 11, 2011
127 BETH CIR, PLYMOUTH, WI 53073(920) 892-7044 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randal Gereau Lpn NPPES

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

RANDAL GEREAU LPN (NPI 1275825077) is an individual licensed practical nurse in Plymouth, Wisconsin, licensed in Wisconsin (313450-31) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1275825077
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameRANDAL GEREAUCredential: LPN
Location Address127 BETH CIRPlymouth, WI 53073-2649
Mailing Address127 Beth CirPlymouth, WI 53073-2649 · (920) 892-7044
Phone(920) 892-7044
Sole ProprietorYes
Enumeration DateMay 11, 2011
✔ NPI 1275825077 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 · 313450-31
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.
127 BETH CIR, Plymouth, WI 53073
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA KAMPHUIS R.N.
Registered Nurse
127 BETH CIR
PLYMOUTH, WI 53073
Sheboygan County (920) 838-2152
MARISSA C MANIBOG LPN
Licensed Practical Nurse
127 BETH CIR
PLYMOUTH, WI 53073
Sheboygan County (920) 892-7044

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 Randal Gereau's NPI number?

The NPI number for Randal Gereau is 1275825077. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Randal Gereau located?

Randal Gereau practices at 127 Beth Cir, Plymouth, WI 53073. The listed phone number is (920) 892-7044.

What is Randal Gereau'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 Randal Gereau was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.