Individual
NADINE ELLYN O KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 PARK CREST DR, THIENSVILLE, WI 53092-1421
(262) 242-4466
Mailing address
516 PARK CREST DR, THIENSVILLE, WI 53092-1421
(262) 242-4466
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
71652-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38255600
—
WI
Enumeration date
04/24/2007
Last updated
07/08/2007
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