Individual
MICHELLE ANN PEMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4008 WINDMILL LN, JANESVILLE, WI 53546-4238
(608) 290-9741
Mailing address
4008 WINDMILL LN, JANESVILLE, WI 53546-4238
(608) 290-9741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35015400
—
WI
Enumeration date
11/30/2007
Last updated
11/30/2007
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