Individual
AMBER FAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
25671 EMERSON RD, WEBSTER, WI 54893-9139
(715) 416-1859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326080-31
WI
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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