Individual
KERI ANN VAN VEGHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
122 EAGLE LAKE AVE, MUKWONAGO, WI 53149-1107
(262) 363-5554
Mailing address
S93W35020 WESTWIND DR, EAGLE, WI 53119-1601
(262) 378-0761
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
167731-30
WI
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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