Individual
MS. KATHY LYNN MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
635 EAGLEWATCH DR, DE FOREST, WI 53532-3045
(608) 846-7383
Mailing address
635 EAGLEWATCH DR, DE FOREST, WI 53532-3045
(608) 846-7383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95164-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38323200
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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