Individual
MARANDA JEAN NABOZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6571 AFTERHOURS RD, BRULE, WI 54820
(608) 383-3048
Mailing address
1612 6TH ST E, ASHLAND, WI 54806-2218
(715) 209-6012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230440-30
WI
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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