Trista Ann Fleege RN

NPI 1073818043 - Registered Nurse - 163W00000X

NPI Details
NPI 1073818043
Gender Female
Enumeration Date 01/21/2011
Last Updated 01/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3400 176TH AVE
KENOSHA WI, 53144-7636, US
Phone (773) 593-9017
Fax
Business Location
3400 176TH AVE
KENOSHA WI, 53144-7636, US
Phone (773) 593-9017
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 175749-30
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According to our database, Miss Trista Ann Fleege RN NPI is 1073818043, taxonomy code is 163W00000X and license number is 175749-30, license state is located at Wisconsin. Trista Ann Fleege RN physically located at 3400 176th Ave, Kenosha WI, 53144-7636. NPI Number Trista Ann Fleege RN has the Individual type.

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1073818043 NPI number is provided on an as is basis without warranty of any kind. 1073818043 is maintained by the National Plan & Provider Enumeration System. The contents of Trista Ann Fleege RN are for informational purposes only.