Individual
MS. VERA DIANE VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W10672 BLUEBIRD ST, ELCHO, WI 54428-9502
(715) 482-0788
Mailing address
PO BOX 134, ELCHO, WI 54428-0134
(715) 482-0788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159539
WI
Other
Enumeration date
01/27/2009
Last updated
03/01/2014
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