Individual
MRS. IONE CAROLYN BJEGOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14048 WATERS EDGE TRL, NEW BERLIN, WI 53151-4567
(414) 207-5807
Mailing address
14048 WATERS EDGE TRL, NEW BERLIN, WI 53151-4567
(414) 207-5807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94320-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38242500
—
WI
Enumeration date
09/13/2008
Last updated
09/13/2008
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