Individual
MRS. BRIANA ROSE KORTBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
17143 ITASCA RD, CAMP DOUGLAS, WI 54618-8547
(608) 387-6033
Mailing address
17143 ITASCA RD, CAMP DOUGLAS, WI 54618-8547
(608) 387-6033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
197097
WI
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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