Individual
MS. JOAN ELLEN MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
830 CIRCLE DR, ELM GROVE, WI 53122-2140
(262) 782-1269
(262) 782-7997
Mailing address
830 CIRCLE DR, ELM GROVE, WI 53122-2140
(262) 782-1269
(262) 782-7997
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
118722-30
WI
Other
Enumeration date
02/25/2009
Last updated
03/05/2009
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