Provider Demographics
NPI:1821370610
Name:KRAMER, DEBRA (LPN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:SUNDQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 N 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-1621
Mailing Address - Country:US
Mailing Address - Phone:920-452-2208
Mailing Address - Fax:
Practice Address - Street 1:703 N 40TH ST
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-1621
Practice Address - Country:US
Practice Address - Phone:920-452-2208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI314381-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse