Individual
MISS JENNIFER ANN EIGENBRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12000 W BLUEMOUND RD APT 112, WAUWATOSA, WI 53226-3858
(262) 308-9398
Mailing address
12000 W BLUEMOUND RD APT 112, WAUWATOSA, WI 53226-3858
(262) 308-9398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137178-030
WI
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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