Individual
MS. CARLA NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1589 HWY C, GRAFTON, WI 53024-9739
(262) 377-3344
Mailing address
1589 HWY C, GRAFTON, WI 53024-9739
(262) 377-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38231200
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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