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BETTY WAKE LPN
NPI 1356097919
Licensed Practical Nurse in Green Bay, WI

Active since February 23, 2022
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betty Wake Lpn NPPES

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

BETTY WAKE LPN (NPI 1356097919) is an individual licensed practical nurse in Green Bay, Wisconsin, licensed in Wisconsin (321460-31) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1356097919
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBETTY WAKECredential: LPN
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740
Phone(920) 337-6740
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1356097919 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 · 321460-31
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.
2357 W MASON ST, Green Bay, WI 54303
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Other Identifiers 1

Medicaid42030700WI

Other Providers at the Same Location NPPES 20

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

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JAMIE THEISEN SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Betty Wake's NPI number?

The NPI number for Betty Wake is 1356097919. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Betty Wake located?

Betty Wake practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Betty Wake'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 Betty Wake was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.