Individual
STEPHANIE KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
556 STATE ROAD 16, PARDEEVILLE, WI 53954-9314
(608) 429-4331
Mailing address
556 STATE ROAD 16, PARDEEVILLE, WI 53954
(608) 429-4331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38203700
—
WI
Enumeration date
02/16/2007
Last updated
07/08/2007
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