Individual
MRS. KATHLEEN M. BERNDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W6800 37TH ST, NEW LISBON, WI 53950-9149
(608) 562-5685
Mailing address
W6800 37TH ST, NEW LISBON, WI 53950-9149
(608) 562-5685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100174-30
WI
163WH0200X
Home Health Registered Nurse
100174-30
WI
163WW0000X
Wound Care Registered Nurse
100174-30
WI
Other
Enumeration date
12/27/2011
Last updated
02/27/2012
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