Individual
MRS. CHRISTINE MARY MOREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
124 S FISCHER AVE, JEFFERSON, WI 53549-2124
(920) 674-2480
Mailing address
124 S FISCHER AVE, JEFFERSON, WI 53549-2124
(920) 674-2480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38237800
—
WI
Enumeration date
03/10/2008
Last updated
03/10/2008
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