Individual
AIMEE KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5591 SCOTT ST, PITTSVILLE, WI 54466-9572
(715) 884-3379
Mailing address
5591 SCOTT ST, PITTSVILLE, WI 54466-9572
(715) 884-3379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169118-030
WI
164W00000X
Licensed Practical Nurse
310294-031
WI
Other
Enumeration date
12/24/2008
Last updated
08/11/2009
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