WAUKESHA BRANCH LPN
NPI 1548649668
Licensed Practical Nurse in Warren, MI

Active since May 21, 2015
2016 GOULSON AVE, WARREN, MI 48091(313) 784-4540 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waukesha Branch Lpn NPPES

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

WAUKESHA BRANCH LPN (NPI 1548649668) is an individual licensed practical nurse in Warren, Michigan, licensed in Michigan (4703114895) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1548649668
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWAUKESHA BRANCHCredential: LPN
Location Address2016 GOULSON AVEWarren, MI 48091-5104
Mailing Address2016 Goulson AveWarren, MI 48091-5104 · (313) 784-4540
Sole ProprietorNo
Enumeration DateMay 21, 2015
NPI 1548649668 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 MI · 4703114895
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.
2016 GOULSON AVE, Warren, MI 48091

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 Waukesha Branch's NPI number?

The NPI number for Waukesha Branch is 1548649668. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Waukesha Branch located?

Waukesha Branch practices at 2016 Goulson Ave, Warren, MI 48091. The listed phone number is (313) 784-4540.

What is Waukesha Branch'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 Waukesha Branch was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.