Individual
NANCY MARIE ROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 RITGER CIR, ALLENTON, WI 53002-9523
(262) 343-0452
(262) 343-0452
Mailing address
510 RITGER CIR, ALLENTON, WI 53002-9523
(262) 343-0452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84402-30
WI
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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