Individual
SHAWNA RAE PIENTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 W BROADWAY ST, BLAIR, WI 54616-9365
(608) 989-2744
Mailing address
629 E MAIN ST, ARCADIA, WI 54612-1626
(608) 797-6640
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
157875-030
WI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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