Individual
KERSTIN LESLIE NEDEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN - BSN
Contact information
Practice address
W1080 MOHAWK VALLEY RD, STODDARD, WI 54658-9025
(608) 386-6153
Mailing address
W1080 MOHAWK VALLEY RD, STODDARD, WI 54658-9025
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
232109
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232109
RN LICENSE
WI
Enumeration date
06/29/2020
Last updated
11/27/2023
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