Individual
MISS JOAN KATHRYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2911 VERCAUTEREN DR, GREEN BAY, WI 54313-5847
(920) 347-9793
Mailing address
2911 VERCAUTEREN DR, GREEN BAY, WI 54313-5847
(920) 347-9793
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39860300
—
WI
Enumeration date
05/25/2007
Last updated
07/09/2007
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