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MISS TRISTA DELORIS CLEMMER LPN
NPI 1811164122
Licensed Practical Nurse in Grantsburg, WI

Active since May 15, 2008
618 S CHURCH ST, GRANTSBURG, WI 54840(715) 220-1995 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Trista Deloris Clemmer Lpn NPPES

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

MISS TRISTA DELORIS CLEMMER LPN (NPI 1811164122) is an individual licensed practical nurse in Grantsburg, Wisconsin, licensed in Wisconsin (306540-031) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1811164122
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS TRISTA DELORIS CLEMMERCredential: LPN
Location Address618 S CHURCH STGrantsburg, WI 54840-7866
Mailing Address618 S Church StGrantsburg, WI 54840-7866 · (715) 220-1995
Phone(715) 220-1995
Sole ProprietorYes
Enumeration DateMay 15, 2008
✔ NPI 1811164122 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 · 306540-031
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.
618 S CHURCH ST, Grantsburg, WI 54840
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Other Identifiers 1

Medicaid3950845470WI

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 Trista Clemmer's NPI number?

The NPI number for Trista Clemmer is 1811164122. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Trista Clemmer located?

Trista Clemmer practices at 618 S Church St, Grantsburg, WI 54840. The listed phone number is (715) 220-1995.

What is Trista Clemmer'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 Trista Clemmer was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.