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NATASHA MAIRE BUBOLZ LPN
NPI 1689380461
Licensed Practical Nurse in Gillett, WI

Active since January 25, 2023
14386 WARRINGTON LAKE DR, GILLETT, WI 54124(920) 598-0712 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Natasha Maire Bubolz Lpn NPPES

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

NATASHA MAIRE BUBOLZ LPN (NPI 1689380461) is an individual licensed practical nurse in Gillett, Wisconsin, licensed in Wisconsin (325780) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1689380461
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNATASHA MAIRE BUBOLZCredential: LPN
Location Address14386 WARRINGTON LAKE DRGillett, WI 54124-9793
Mailing Address14386 Warrington Lake DrGillett, WI 54124-9793 · (920) 598-0712
Phone(920) 598-0712
Sole ProprietorYes
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1689380461 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 · 325780
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.
14386 WARRINGTON LAKE DR, Gillett, WI 54124
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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 Natasha Bubolz's NPI number?

The NPI number for Natasha Bubolz is 1689380461. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Natasha Bubolz located?

Natasha Bubolz practices at 14386 Warrington Lake Dr, Gillett, WI 54124. The listed phone number is (920) 598-0712.

What is Natasha Bubolz'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 Natasha Bubolz was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.