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Individual

ROANN MARIE WARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
N3152 HWY 81, MONROE, WI 53566-9397
(608) 328-9390
(608) 325-7575
Mailing address
N3152 HWY 81, MONROE, WI 53566-9397
(608) 328-9390
(608) 325-7575

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
99307-30
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508011479
WI
Enumeration date
08/16/2018
Last updated
08/16/2018
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