Individual
MARCIA S HANIZESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W178S7776 KITTERY CT, MUSKEGO, WI 53150-9313
(262) 424-4408
Mailing address
W178S7776 KITTERY CT, MUSKEGO, WI 53150-9313
(262) 424-4408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63769-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35058100
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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