Individual
CAROL WEICKARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W328 S1421 N FOREST HILL CT, DELAFIELD, WI 53018-3362
(262) 968-9588
Mailing address
W328 S1421 N FOREST HILL CT, DELAFIELD, WI 53018-3362
(262) 968-9588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0071902-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38315800
—
WI
Enumeration date
01/11/2008
Last updated
01/11/2008
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