person
Stephen Hanisee Park, RN
Home Health Registered Nurse in Viroqua, Wisconsin
NPI 1013986652

Stephen Hanisee Park is a Home Health Registered Nurse based in Viroqua, WI and is specialized in Home Health. Stephen Hanisee Park practices in Viroqua, WI and has the professional credentials of RN. The NPI Number for Stephen Hanisee Park is 1013986652 and holds a License No. (Wisconsin).

The current practice location address for Stephen Hanisee Park is S7208A Yanske Road, Viroqua, WI and can be reached out via phone at 608-675-3848.

Location: S7208A Yanske Road, Viroqua, WI, 54665-5466
person
Provider Profile Details
NPI Number
1013986652
Provider Name
Stephen Hanisee Park
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
S7208A Yanske Road, Viroqua, WI, 54665-5466
Phone Number
608-675-3848
Fax Number
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38237900 05 WI
R 136336-4 01 MN RN LICENSE
institution
Provider Business Practice Location Address Details
Address
S7208A Yanske Road
City
State
Zip
54665-5466
Phone Number
608-675-3848
Fax Number
person
Provider Business Mailing Address Details
Address
S7208A Yanske Road
City
State
Zip
54665-5466
Phone Number
608-675-3848
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
(Wisconsin)
Definition
Definition to come...
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