Individual
MRS. GLADYS SHAN REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6066 WILDWOOD LAKE CIR, RHINELANDER, WI 54501-9793
(715) 369-0311
Mailing address
6066 WILDWOOD LAKE CIR, RHINELANDER, WI 54501-9793
(715) 369-0311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83990-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38325806
—
WI
Enumeration date
11/16/2009
Last updated
11/16/2009
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