Individual
KARISSA LYNN HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2580 DE CARLIN DR, BROOKFIELD, WI 53045-3956
(262) 366-4365
Mailing address
2580 DE CARLIN DR, BROOKFIELD, WI 53045-3956
(262) 366-4365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148515-30
WI
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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