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Individual

ANDREA LYNN GRIFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
5416 93RD ST, PLEASANT PRAIRIE, WI 53158-5514
(262) 705-1561
Mailing address
5416 93RD ST, PLEASANT PRAIRIE, WI 53158-5514
(262) 705-1561

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94517-30
WI

Other

Enumeration date
12/29/2008
Last updated
12/29/2008
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