Individual
ELIZABETH KOFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6832 DIANE DR, WEST BEND, WI 53090-7806
(262) 497-4682
Mailing address
6832 DIANE DR, WEST BEND, WI 53090-7806
(262) 497-4682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66276-030
WI
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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