SHELLIE GERMAINE BERG LPN
NPI 1578076162
Licensed Practical Nurse in Green Bay, WI

Active since November 06, 2017
970 LAKE ST, GREEN BAY, WI 54303(920) 265-4080 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shellie Germaine Berg Lpn NPPES

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

SHELLIE GERMAINE BERG LPN (NPI 1578076162) is an individual licensed practical nurse in Green Bay, Wisconsin, licensed in Wisconsin (321622-31) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1578076162
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLIE GERMAINE BERGCredential: LPN
Location Address970 LAKE STGreen Bay, WI 54303-1866
Mailing Address970 Lake StGreen Bay, WI 54303-1866
Sole ProprietorYes
Enumeration DateNovember 6, 2017
NPI 1578076162 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 · 321622-31
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.
970 LAKE ST, Green Bay, WI 54303

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 Shellie Berg's NPI number?

The NPI number for Shellie Berg is 1578076162. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Shellie Berg located?

Shellie Berg practices at 970 Lake St, Green Bay, WI 54303. The listed phone number is (920) 265-4080.

What is Shellie Berg'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 Shellie Berg was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.