Individual
KRISTINA CARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
813 S GOLDENROD DR, APPLETON, WI 54914-9696
(920) 858-8172
Mailing address
732 W PACKARD ST, APPLETON, WI 54914-3850
(920) 558-1333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323620
WI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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