Individual
VICKY REITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W273N4182 HICKORY GROVE DR, PEWAUKEE, WI 53072-2242
(414) 840-7305
Mailing address
W273N4182 HICKORY GROVE DR, PEWAUKEE, WI 53072-2242
(414) 840-7305
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
102655-30
WI
163WE0003X
Emergency Registered Nurse
Primary
102655-30
WI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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