Individual
LEEANN MANSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6581 N BETHMAUR LN, GLENDALE, WI 53209-3363
(414) 491-0881
Mailing address
6581 N BETHMAUR LN, GLENDALE, WI 53209-3363
(414) 491-0881
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
161372
WI
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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