Individual
MRS. ROBIN JO STAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REG. NURSE
Contact information
Practice address
1320 CENTRAL AVE, BELOIT, WI 53511
(608) 299-8515
Mailing address
1320 CENTRAL AVE, BELOIT, WI 53511
(608) 299-8515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.302905
IL
163W00000X
Registered Nurse
Primary
125316-030
WI
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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