Individual
ANDREA KAMPHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
127 BETH CIR, PLYMOUTH, WI 53073-2649
(920) 838-2152
Mailing address
229 W WASHINGTON ST, APT 202, PORT WASHINGTON, WI 53074-1852
(920) 296-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178243-30
WI
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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