Individual
ANNA RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1604 LAKEWOOD AVE, MOUNT PLEASANT, WI 53403-3827
(262) 902-8299
Mailing address
1604 LAKEWOOD AVE, MOUNT PLEASANT, WI 53403-3827
(262) 902-8299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5144-33
WI
363LG0600X
Gerontology Nurse Practitioner
2012012414
WI
Other
Enumeration date
09/27/2012
Last updated
01/17/2014
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