Individual
NATALIE C DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
170 SEYMOUR ST, SHARON, WI 53585-9620
(262) 736-4876
(262) 736-4876
Mailing address
170 SEYMOUR ST, SHARON, WI 53585-9620
(262) 736-4876
(262) 736-4876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31322-31
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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