Individual
KAYLA CHARLENE VAN CLEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
605 S FOREST AVE, CRANDON, WI 54520-1703
(715) 902-0848
(262) 221-2206
Mailing address
501 E GRANT ST, CRANDON, WI 54520-1673
(715) 902-0848
(262) 661-2206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221168
WI
261QA0600X
Adult Day Care Clinic/Center
Primary
0020610
WI
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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