Individual
TRISTA E NEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 JUNIPER ST, BURLINGTON, WI 53105-8329
(262) 210-7573
Mailing address
32871 JUNIPER ST, BURLINGTON, WI 53105-8329
(262) 210-7583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158893-30
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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