Individual
MISS ARETHA LATRISE PARHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5305 VALLEY EDGE DR, MADISON, WI 53704-8926
(608) 242-8995
Mailing address
5305 VALLEY EDGE DR, MADISON, WI 53704-8926
(608) 242-8995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38207700
PROVIDER NUMBER
WI
Enumeration date
04/11/2006
Last updated
07/08/2007
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