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Individual

KRISTINA J ROOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115937
WI
363LF0000X
Family Nurse Practitioner
Primary
3883
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100006296
WI
Enumeration date
10/15/2009
Last updated
02/01/2022
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