Individual
KAREN LEE HEISLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W251N9296 CRESTWOOD DR, SUSSEX, WI 53089-1041
(262) 628-9034
Mailing address
W251N9296 CRESTWOOD DR, SUSSEX, WI 53089-1041
(262) 628-9034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18779/031
WI
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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