Individual
RITA IRENE KUYPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4011 W FOUNTAIN AVE, BROWN DEER, WI 53209-1713
(414) 881-4639
Mailing address
4011 W FOUNTAIN AVE, BROWN DEER, WI 53209-1713
(414) 881-4639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79531-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39839500
—
WI
Enumeration date
08/18/2007
Last updated
08/18/2007
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