Individual
KIRSTEN S MENNINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 KRYSTANA WAY, MADISON, WI 53711-3251
(608) 274-5807
Mailing address
23 KRYSTANA WAY, MADISON, WI 53711-3251
(608) 274-5807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171768-030
WI
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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