Individual
EMILY ELIZABETH IPSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W264N7125 THOUSAND OAKS DR, SUSSEX, WI 53089-2427
(262) 820-0772
Mailing address
W264N7125 THOUSAND OAKS DR, SUSSEX, WI 53089-2427
(262) 820-0772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61665-030
WI
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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