Provider Demographics
NPI:1588816037
Name:SMEDBRON, KAREN SUE (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:SMEDBRON
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 1:823 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NEKOOSA
Mailing Address - State:WI
Mailing Address - Zip Code:54457-1159
Mailing Address - Country:US
Mailing Address - Phone:715-886-4319
Mailing Address - Fax:
Practice Address - Street 1:823 W 5TH ST
Practice Address - Street 2:
Practice Address - City:NEKOOSA
Practice Address - State:WI
Practice Address - Zip Code:54457-1159
Practice Address - Country:US
Practice Address - Phone:715-886-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI308242-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse