Individual
ALICIA CLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1380 13TH ST, FENNIMORE, WI 53809-1910
(608) 732-4397
Mailing address
1380 13TH ST, FENNIMORE, WI 53809-1910
(608) 732-4397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168027-30
WI
363L00000X
Nurse Practitioner
Primary
11734-33
WI
Other
Enumeration date
06/26/2015
Last updated
02/09/2022
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