Individual
MRS. DENA ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1620 N 12TH ST, SHEBOYGAN, WI 53081-2504
(920) 459-8372
Mailing address
1620 N 12TH ST, SHEBOYGAN, WI 53081-2504
(920) 459-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35010100
—
WI
Enumeration date
12/13/2006
Last updated
07/09/2007
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