Individual
SHELLY M RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9700 RAYNE RD UNIT 4, STURTEVANT, WI 53177-1865
(262) 501-5777
Mailing address
9700 RAYNE RD UNIT 4, STURTEVANT, WI 53177-1865
(262) 501-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165143-030
WI
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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