Individual
FAWNAH W BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228029-30
WI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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