Individual
MISS PATRICIA ANN SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
316 N. TERRACE ST., JANBESVILLE, WI 53548
(608) 314-4558
Mailing address
316 N. TERRACE ST, JANESVILLE, WI 53548
(608) 314-4558
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
32503
WI
3747A0650X
Attendant Care Provider
32503
WI
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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