is a Registered Nurse in Oostburg, Wisconsin. practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for is 1346407236. The last update date is .
's current location address is W1243 Town Line Rd, Oostburg, Wisconsin. You can contact this provider via phone number 9205643550. The mailing address for is W1243 Town Line Rd, Oostburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | W1243 Town Line Rd, Oostburg, Wisconsin |
| Phone Number | 9205643550 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346407236 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | W1243 Town Line Rd |
|---|---|
| City | Oostburg |
| State | Wisconsin (WI) |
| Post Code | 530701908 |
| Phone Number | 9205643550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 105409-030 |
|
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35056300 | WI | -- |
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