Individual
MS. PATRICIA L VANDE HEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N6180 RIVERVIEW RD, PLYMOUTH, WI 53073-3502
(920) 207-4764
Mailing address
N6180 RIVERVIEW RD, PLYMOUTH, WI 53073-3502
(920) 207-4764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56939
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39814200
—
WI
Enumeration date
05/04/2008
Last updated
05/04/2008
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