Individual
MS. SHEILA KAY NITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1110 N PONTIAC DR, JANESVILLE, WI 53545-1332
(608) 758-2398
Mailing address
1110 N PONTIAC DR, JANESVILLE, WI 53545-1332
(608) 758-2398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35037300
—
WI
Enumeration date
10/25/2007
Last updated
10/25/2007
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