Doctor Name: | KELI A IZYK |
NPI Number: | 1649583980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 312900-31 |
Business Practice Address: | 3686 Shore Rd Sturgeon Bay, WI - 542358242 |
Business Phone Number: | 9207433956 |
Business Fax Number: | |
Mailing Address: | 3686 Shore Rd, STURGEON BAY |
State: | WI |
Postal Code: | 542358242 |
Phone Number: | 9207433956 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2010 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 312900-31 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |