Individual
NADEEN RAE DEFERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
140 CORPORATE DR, STE 1, BEAVER DAM, WI 53916-1281
(920) 887-2822
Mailing address
140 CORPORATE DR, STE 1, BEAVER DAM, WI 53916-1281
(920) 887-2822
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
263-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41133300
—
WI
Enumeration date
03/03/2008
Last updated
07/06/2015
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