Individual
MS. NANETTE MARIE FENZAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCS-NURSE
Contact information
Practice address
606 GREEN MEADOW DR, VERONA, WI 53593-1512
(608) 848-4800
Mailing address
606 GREEN MEADOW DR, VERONA, WI 53593-1512
(608) 848-4800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17832-031
WI
225700000X
Massage Therapist
11698-146
WI
2278H0200X
Home Health Certified Respiratory Therapist
17832-031
WI
Other
Enumeration date
07/23/2006
Last updated
02/17/2017
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