Linda A Colvin, LPN

Individual provider Active NPI Licensed Practical Nurse · Milwaukee, WI

NPI 1487948519 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1487948519
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
308302-031 (WI)
Practice address
8008 N 105TH St
Milwaukee, WI 53224-2602
Phone
(414) 841-8421
NPI assigned
Jun 7, 2011
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
308302-031WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308302-031 WI Yes

Addresses

Primary practice location

8008 N 105TH St
Milwaukee, WI 53224-2602

Mailing address

8008 N 105TH St
Milwaukee, WI 53224-2602
Phone (414) 841-8421

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.