Cher Kristine Birno, LPN

Individual provider Active NPI Licensed Practical Nurse · West Bend, WI

NPI 1013338201 · NPPES record last updated Dec 15, 2013

Key facts

NPI
1013338201
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
306804-31 (WI)
Practice address
763 Imperial CT
West Bend, WI 53095-4319
Phone
(262) 388-0881
NPI assigned
Dec 15, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
306804-31WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 306804-31 WI Yes

Addresses

Primary practice location

763 Imperial CT
West Bend, WI 53095-4319

Mailing address

763 Imperial CT
West Bend, WI 53095-4319
Phone (262) 388-0881

Other names

  • Ms. Cher Kristine Boeldt Former name

Other providers in West Bend, WI

All providers in West Bend, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.