Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleveland VA Cboc

Organization Licensed Practical Nurse · NPI 1063439966

Cleveland VA Cboc is a Licensed Practical Nurse in Cleveland, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1205 N Ave
Cleveland, WI 53015-1413
Phone: (188) 846-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 18107-031 (WI)

Record details

NPI number1063439966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Hibbard — Lpn · (920) 693-5600
NPI enumeratedJuly 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address631 Mark Ave, Sheboygan Falls, WI 53085-1721

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