Individual
MS. MARSHA ANN NYTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
E8222 WEYAWEGA RD, NEW LONDON, WI 54961
(920) 982-9021
Mailing address
N8261 CTY RD 0, BEAR CREEK, WI 54922
(715) 752-4828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304482031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38325600
—
WI
Enumeration date
09/03/2008
Last updated
09/03/2008
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