Individual
BRENDA CHIAPETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3233 23RD AVE, KENOSHA, WI 53140
(262) 620-7650
Mailing address
3233 23RD AVE, KENOSHA, WI 53140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177498-30
WI
163WW0000X
Wound Care Registered Nurse
177498-30
WI
163WX1500X
Ostomy Care Registered Nurse
177498-30
WI
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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