Individual
CARRIE L MOENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
855 N WESTHAVE DR, OSHKOSH, WI 54904
(920) 303-5626
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(203) 035-6239
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
170094-30
WI
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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