Individual
MS. CERIA LATRESE BELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5730 N 96TH ST, MILWAUKEE, WI 53225-2615
(414) 464-9167
Mailing address
5730 N 96TH ST, MILWAUKEE, WI 53225-2615
(414) 464-9167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302120-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38218400
PRIVATE DUTY NURSE PROVIDER ID
WI
Enumeration date
01/07/2009
Last updated
01/07/2009
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