Individual
CHRISTINA A MIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 N WISCONSIN AVE, MUSCODA, WI 53573-9251
(608) 375-4144
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10298
WI
363LF0000X
Family Nurse Practitioner
Primary
10298
WI
Other
Enumeration date
09/21/2020
Last updated
11/06/2020
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