Tina Marie Stefaniak L.P.N. #306931-31

NPI 1023316767 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023316767
Gender Female
Enumeration Date 03/04/2011
Last Updated 03/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2935 S. 127TH STREET
NEW BERLIN WI, 53151-4025, US
Phone (262) 497-6813
Business Location
RACINE WI, 53402-2760, US
Phone (262) 497-6813
Taxonomy Code 164W00000X
License State Wisconsin
License Number 306931-31
Remove 1023316767 NPI Number

According to our database, Mrs. Tina Marie Stefaniak L.P.N. #306931-31 NPI is 1023316767, taxonomy code is 164W00000X and license number is 306931-31, license state is located at Wisconsin. Tina Marie Stefaniak L.P.N. #306931-31 physically located at 2935 S. 127th Street, New Berlin WI, 53151-4025. NPI Number Tina Marie Stefaniak L.P.N. #306931-31 has the Individual type.

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1023316767 NPI number is provided on an as is basis without warranty of any kind. 1023316767 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Stefaniak L.P.N. #306931-31 are for informational purposes only.