Miss Trista Deloris Clemmer, LPN | |
618 S Church St, Grantsburg, WI 54840-7866 | |
(715) 220-1995 | |
Not Available |
Full Name | Miss Trista Deloris Clemmer |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 618 S Church St, Grantsburg, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811164122 | NPI | - | NPPES |
3950845470 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 306540-031 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Trista Deloris Clemmer, LPN 618 S Church St, Grantsburg, WI 54840-7866 Ph: (715) 220-1995 | Miss Trista Deloris Clemmer, LPN 618 S Church St, Grantsburg, WI 54840-7866 Ph: (715) 220-1995 |
Sandra Leigh Oachs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10772 Zetterberg Rd, Grantsburg, WI 54840 Phone: 715-689-2681 Fax: 715-689-2220 | |
Mrs. Jenna Sue Fickbohm, L.P.N Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 13483 County Road F, Grantsburg, WI 54840 Phone: 651-353-5535 |