Individual
LI PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4700 SHASTA DR, BROOKFIELD, WI 53045-1006
(262) 391-7264
Mailing address
4700 SHASTA DR, BROOKFIELD, WI 53045-1006
(262) 391-7264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315602-31
WI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us