Individual
MRS. DORIS ANN HABAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN PRIVATE DUTY NUR
Contact information
Practice address
29250 HWY E, MASON, WI 54856
(715) 765-4791
Mailing address
30480 TODY ROAD, MASON, WI 54856
(715) 765-4814
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25473-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35059800
—
WI
Enumeration date
07/18/2008
Last updated
07/18/2008
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