Individual
HANORA ANNE MARIE VAN ERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
314 FOREST ST, MADISON, WI 53726-3912
(715) 514-7024
Mailing address
314 FOREST ST, MADISON, WI 53726-3912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225011
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02252011
—
WI
Enumeration date
05/05/2016
Last updated
05/05/2016
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