Individual
LISA A. HIDDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N1654 RIDGEWAY DR, GREENVILLE, WI 54942-8609
(920) 757-1835
Mailing address
N1654 RIDGEWAY DR, GREENVILLE, WI 54942-8609
(920) 757-1835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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