Individual
LINDSEY A SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147843
WI
363L00000X
Nurse Practitioner
3506-33
WI
363LF0000X
Family Nurse Practitioner
Primary
3506-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376705632
—
WI
Enumeration date
06/27/2008
Last updated
03/22/2016
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