Individual
CYNTHIA ANN PROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
W180N8000 TOWN HALL RD, DIABETES AND NUTRITION EDUCATION SERVICES, MENOMONEE FALLS, WI 53051-4002
(262) 532-3239
(262) 532-9512
Mailing address
W180N8000 TOWN HALL RD, DIABETES AND NUTRITION EDUCATION SERVICES, MENOMONEE FALLS, WI 53051-4002
(262) 532-3239
(262) 532-9512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98194-30
WI
163WD0400X
Diabetes Educator Registered Nurse
Primary
98194-30
WI
Other
Enumeration date
03/15/2010
Last updated
09/04/2014
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