Shellie Germaine Berg, LPN
Licensed Practical Nurse in Green Bay, WI. Individual provider (NPI-1).
NPI number1578076162
StatusActive
Last updated in NPPESNov 6, 2017
Details
- NPI
- 1578076162
- Entity type
- Individual (NPI-1)
- Name
- Shellie Germaine Berg
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2017
- Last updated
- Nov 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 321622-31 | WI | Yes |
Practice location
970 Lake StGreen Bay, WI 54303-1866
Phone 920-265-4080
Mailing address
970 Lake StGreen Bay, WI 54303-1866
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All 43 Licensed Practical Nurse providers in Green Bay · All 5,539 providers in Green Bay
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