Individual
ABBY MARIE HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3901 TEAL LN, JANESVILLE, WI 53546
(608) 359-6018
Mailing address
3901 TEAL LN, JANESVILLE, WI 53546-4316
(608) 359-6018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192282
WI
163WP0200X
Pediatric Registered Nurse
192282
WI
Other
Enumeration date
04/05/2018
Last updated
05/16/2018
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