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Individual

MS. ANNE BAILEY PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
W305N5737 STEVENS RD, HARTLAND, WI 53029-8727
(262) 623-0973
Mailing address
W305N5737 STEVENS RD, HARTLAND, WI 53029-8727
(262) 623-0973

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
123160-30
WI

Other

Enumeration date
10/25/2013
Last updated
10/25/2013
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