Individual
MRS. CHRISTINE ANN BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
687 NORTH ST, WEST BEND, WI 53090-2515
(262) 338-4903
Mailing address
687 NORTH ST, WEST BEND, WI 53090-2515
(262) 338-4903
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
141193-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38265200
—
WI
Enumeration date
07/24/2006
Last updated
07/09/2007
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