Individual
MARIANN HISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1380 CHERRY VALLEY RD, BULL VALLEY, IL 60050-6414
(815) 382-5430
Mailing address
1380 CHERRY VALLEY RD, BULL VALLEY, IL 60050-6414
(815) 382-5430
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041198818
IL
163WC1500X
Community Health Registered Nurse
26646830
WI
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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