Individual
MRS. JOANNE MARIE REHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
W. 5567 PLANTATION RD., ELKHORN, WI 53121
(262) 742-2434
Mailing address
W. 5567 PLANTATION RD., ELKHORN, WI 53121
(262) 742-2434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34065-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39969900
—
WI
Enumeration date
10/26/2006
Last updated
07/09/2007
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