Natalie C Dickerson, LPN
Individual provider Active NPI Licensed Practical Nurse · Sharon, WI
NPI 1346513025 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1346513025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 31322-31 (WI)
- Practice address
- 170 Seymour St
Sharon, WI 53585-9620 - Phone
- (262) 736-4876
- Fax
- (262) 736-4876
- NPI assigned
- Feb 10, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31322-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 31322-31 | WI | Yes |
Addresses
Primary practice location
170 Seymour St
Sharon, WI 53585-9620
Mailing address
170 Seymour St
Sharon, WI 53585-9620
Phone (262) 736-4876
Other providers in Sharon, WI
All providers in Sharon, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.