Individual
MRS. SUSAN MARIE WASHNESKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3485 LAKE DR, HARTFORD, WI 53027-8890
(262) 224-3513
Mailing address
3485 LAKE DR, HARTFORD, WI 53027-8890
(262) 224-3513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82214 030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39867600
—
WI
Enumeration date
12/06/2005
Last updated
07/08/2007
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