NPI 1245316520
Shirley Reynolds, LPN
Practice location
- Address
- W2923 State Road 11, Elkhorn, WI 53121-4118
- Phone
- (262) 215-4809
- Mailing address
- W2923 State Road 11 P. O. Box 596, Elkhorn, WI 53121-4118
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1245316520
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Oct 2006
- Record last updated
- 9 Jul 2007
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.