Individual
KRISTI MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 PRAIRIE AVE, FOND DU LAC, WI 54935-4533
(920) 960-3611
Mailing address
567 PRAIRIE AVE, FOND DU LAC, WI 54935-4533
(920) 960-3611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310889-31
WI
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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