Individual
RHIANNON R BERTRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 S HILL ST, FAIRCHILD, WI 54741-8263
(715) 334-1526
Mailing address
101 S HILL ST, FAIRCHILD, WI 54741-8263
(715) 334-1526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35020000
—
WI
Enumeration date
03/02/2007
Last updated
07/09/2007
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