Individual
MS. KRISTINE JEAN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.P.C.
Contact information
Practice address
330 S WHITNEY WAY, SUITE NUMBER 303, MADISON, WI 53705-4638
(608) 212-5219
Mailing address
1270 MCMAHON DR, SUN PRAIRIE, WI 53590-3810
(608) 212-5219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4521-125
WI
163WH1000X
Hospice Registered Nurse
69991-030
WI
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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