Provider Demographics
NPI:1417280074
Name:RIOS, HERLINDA M (LPN)
Entity Type:Individual
Prefix:MS
First Name:HERLINDA
Middle Name:M
Last Name:RIOS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 W. STATE STREET
Mailing Address - Street 2:#624
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2993
Mailing Address - Country:US
Mailing Address - Phone:414-899-6241
Mailing Address - Fax:
Practice Address - Street 1:6100 W. STATE STREET
Practice Address - Street 2:#624
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2993
Practice Address - Country:US
Practice Address - Phone:414-899-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164X00000X164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse