Individual
MAUREEN OLDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 LORRIE WAY, DE PERE, WI 54115-3446
(920) 227-3014
Mailing address
254 LORRIE WAY, DE PERE, WI 54115-3446
(920) 227-3014
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
100356-30
WI
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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