Individual
LISA HARTJES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
332 CHERRY LN, LITTLE CHUTE, WI 54140-1107
(920) 781-6127
Mailing address
332 CHERRY LN, LITTLE CHUTE, WI 54140-1107
(920) 716-1279
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
90122
WI
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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