Individual
CARRIE JEAN ARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 N 27TH ST, SHEBOYGAN, WI 53081-2034
(920) 980-4641
Mailing address
257 ANN DR, PLYMOUTH, WI 53073-2631
(920) 980-4641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313036-31
WI
Other
Enumeration date
06/08/2011
Last updated
06/27/2011
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