NPI 1235438623

Roberta J Decker, LPN

Practitioner Licensed Practical Nurse Cass Lake, MN

Practice location

Address: 115 6th St NE, Cass Lake, MN 56633-3428
Phone: (218) 335-4557
Fax: (218) 335-4578

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L041992-1 (MN)

Other Licensed Practical Nurse providers in Minnesota →

Registry record

NPI: 1235438623
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2011
Record last updated: 24 Mar 2011

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.