Individual
JANE IMHOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
921 DARIEN DR, MADISON, WI 53717-2205
(608) 516-3699
Mailing address
921 DARIEN DR, MADISON, WI 53717-2205
(608) 829-3794
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
86730-30
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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