Individual
ERIN KATHLEEN AUDISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MAIN ST, MONTELLO, WI 53949-9730
(608) 408-0165
Mailing address
42 MAIN ST, MONTELLO, WI 53949-9730
(608) 408-0165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254414
WI
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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