Sandra A Stockhausen RN

NPI 1417132069 - Registered Nurse - 163W00000X

NPI Details
NPI 1417132069
Gender Female
Enumeration Date 01/02/2008
Last Updated 08/11/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
205 VALLEY AVE
WEST BEND WI, 53095-5312, US
Phone (262) 338-1123
Fax
Business Location
205 VALLEY AVE
WEST BEND WI, 53095-5312, US
Phone (262) 338-1123
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 111138
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According to our database, Sandra A Stockhausen RN NPI is 1417132069, taxonomy code is 163W00000X and license number is 111138, license state is located at Wisconsin. Sandra A Stockhausen RN physically located at 205 Valley Ave, West Bend WI, 53095-5312. NPI Number Sandra A Stockhausen RN has the Individual type.

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1417132069 NPI number is provided on an as is basis without warranty of any kind. 1417132069 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra A Stockhausen RN are for informational purposes only.