Individual
MISS ISABELLA SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
389 S PARK AVE, FOND DU LAC, WI 54935-5220
(920) 539-4215
Mailing address
389 SOUTH PARK AVENUE, FOND DU LAC, WI 54935
(920) 539-4215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229831-30
WI
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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