Individual
MS. MARLENE INEZ BURGOS-STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4413 AMERICAN ASH DR, MADISON, WI 53704-1169
(608) 334-8011
Mailing address
3603 MEIER RD, SOUTH WAYNE, WI 53587-9775
(608) 293-1193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145352-30
WI
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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