Individual
EMILY FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W156N11686 PILGRIM RD, GERMANTOWN, WI 53022-2659
(920) 905-1806
Mailing address
W156N11686 PILGRIM RD, GERMANTOWN, WI 53022-2659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264098-30
WI
Other
Enumeration date
07/05/2023
Last updated
08/09/2023
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