Individual
MRS. LYNN MARIE HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6104 94TH CT, KENOSHA, WI 53142-7699
(262) 652-1703
Mailing address
6104 94TH CT, KENOSHA, WI 53142-7699
(262) 652-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147769-30
WI
163WP0200X
Pediatric Registered Nurse
147769-30
WI
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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