Individual
JO ELLEN BIADASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6300
(715) 258-6409
Mailing address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6300
(715) 258-6409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94862-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42011200
—
WI
Enumeration date
06/17/2008
Last updated
06/17/2008
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