Individual
LISA MARIE BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6571 AFTER HOURS RD, BRULE, WI 54820
(608) 647-1173
Mailing address
9451 E ELM RD, POPLAR, WI 54864-9071
(218) 391-8068
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
165651-30
WI
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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