Individual
CYNTHIA JOY MCGIVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
717 COLUMBIA AVE, DE FOREST, WI 53532-1333
(715) 355-7899
Mailing address
717 COLUMBIA AVE, DE FOREST, WI 53532-1333
(715) 355-7899
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315863-31
WI
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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