Individual
LISA KUESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
9605 MEDICAL CENTER DR, ROCKVILLE, MD 20850-6380
(301) 330-2921
Mailing address
240 STANLEY ST, CHIPPEWA FALLS, WI 54729-2317
(715) 379-2927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100620
WI
363L00000X
Nurse Practitioner
341-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43831700
—
WI
Enumeration date
10/04/2006
Last updated
01/19/2022
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