Individual
ANDREA MIANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W7420 WINNEGAMIE DR, APPLETON, WI 54914-8616
(920) 379-0807
Mailing address
W7420 WINNEGAMIE DR, APPLETON, WI 54914-8616
(920) 379-0807
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
230002-30
WI
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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