Individual
ROBIN RAE NITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN/CFA
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-0446
(920) 458-3163
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-0446
(920) 458-3163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
29008-031
WI
246ZC0007X
Surgical Assistant
Primary
107170
WI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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