Shawna Rae Pientok RN

NPI 1467699215 - Registered Nurse - 163WC1500X

NPI Details
NPI 1467699215
Gender Female
Enumeration Date 01/15/2009
Last Updated 01/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
305 W BROADWAY ST
BLAIR WI, 54616-9365, US
Phone (608) 989-2744
Fax
Business Location
629 E MAIN ST
ARCADIA WI, 54612-1626, US
Phone (608) 797-6640
Fax
Toxanomy
Taxonomy Code 163WC1500X
License State Wisconsin
License Number 157875-030
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According to our database, Shawna Rae Pientok RN NPI is 1467699215, taxonomy code is 163WC1500X and license number is 157875-030, license state is located at Wisconsin. Shawna Rae Pientok RN physically located at 305 W Broadway St, Blair WI, 54616-9365. NPI Number Shawna Rae Pientok RN has the Individual type.

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1467699215 NPI number is provided on an as is basis without warranty of any kind. 1467699215 is maintained by the National Plan & Provider Enumeration System. The contents of Shawna Rae Pientok RN are for informational purposes only.