NPI 1053665828

Cynthia Ann Roeder, LPN

Practitioner Licensed Practical Nurse Sheboygan, WI

Practice location

Address: 1503 North 2nd Street, Sheboygan, WI 53081
Phone: (920) 457-1483

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 22856-031 (WI)

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Registry record

NPI: 1053665828
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2012
Record last updated: 1 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.