Jill Marie Van Lyssel R.N.

NPI 1033421771 - Registered Nurse - 163W00000X

NPI Details
NPI 1033421771
Gender Female
Enumeration Date 07/10/2010
Last Updated 07/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
W330 EDLUND LN
FREMONT WI, 54940-8513, US
Phone (920) 538-3828
Fax
Business Location
W330 EDLUND LN
FREMONT WI, 54940-8513, US
Phone (920) 538-3828
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 112574-030
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According to our database, Mrs. Jill Marie Van Lyssel R.N. NPI is 1033421771, taxonomy code is 163W00000X and license number is 112574-030, license state is located at Wisconsin. Jill Marie Van Lyssel R.N. physically located at W330 Edlund Ln, Fremont WI, 54940-8513. NPI Number Jill Marie Van Lyssel R.N. has the Individual type.

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1033421771 NPI number is provided on an as is basis without warranty of any kind. 1033421771 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Marie Van Lyssel R.N. are for informational purposes only.