Individual
EMILY VANACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3107 PALMER DR APT 5, JANESVILLE, WI 53546-2314
(608) 921-7343
Mailing address
3107 PALMER DR APT 5, JANESVILLE, WI 53546-2314
(608) 921-7343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313009-31
WI
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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