NPI 1821349184

Amber Lynee Grams, LPN

Practitioner Licensed Practical Nurse Wisconsin Rapids, WI

Practice location

Address: 1532 23rd Ave S, Wisconsin Rapids, WI 54495-5638
Phone: (715) 819-3388

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 311766 (WI)

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Registry record

NPI: 1821349184
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2012
Record last updated: 26 Sep 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.