Individual
LINDA JEAN PUERNER-FISCHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
224 CONNELLY DR, JEFFERSON, WI 53549-2222
(920) 674-6190
Mailing address
N3330 WILL RD, JEFFERSON, WI 53549-9797
(920) 674-2369
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0125389-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39928400
—
WI
Enumeration date
04/07/2006
Last updated
07/09/2007
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