Individual
MRS. SHARI LEE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N1572 SHARI LN, FORT ATKINSON, WI 53538-9381
(920) 563-2553
Mailing address
1572 SHARI LN., FORT ATKINSON, WI 53538
(920) 563-2553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32958-031
WI
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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