Individual
MS. CARISSA ANN SCHNEIDERWENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2203 PLYMOUTH LN, SHEBOYGAN, WI 53081-5630
(920) 912-1232
Mailing address
2203 PLYMOUTH LN, SHEBOYGAN, WI 53081-5630
(920) 912-1232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313751031
WI
Other
Enumeration date
07/06/2011
Last updated
07/03/2012
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