Individual
MRS. ELIZABETH K. MARKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1214 PARK AVE, WEST BEND, WI 53090-2453
(262) 338-7707
Mailing address
1214 PARK AVE, WEST BEND, WI 53090-2453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35021400
—
WI
Enumeration date
07/31/2007
Last updated
07/31/2007
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