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Ms. Tracy Lynn Koltun, RN
Home Health Registered Nurse in Mequon, Wisconsin
NPI 1316214901

Tracy Lynn Koltun is a Home Health Registered Nurse based in Mequon, WI and is specialized in Home Health. Tracy Lynn Koltun practices in Mequon, WI and has the professional credentials of RN. The NPI Number for Tracy Lynn Koltun is 1316214901 and holds a License No. 166720030 (Wisconsin).

The current practice location address for Tracy Lynn Koltun is 11120 N Range Line Rd, Mequon, WI and can be reached out via phone at 262-236-9147.

Location: 11120 N Range Line Rd, Mequon, WI, 53092-4931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316214901
Provider Name
Tracy Lynn Koltun
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
11120 N Range Line Rd, Mequon, WI, 53092-4931
Phone Number
262-236-9147
Fax Number
Provider Enumeration Date
11/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11120 N Range Line Rd
City
Mequon
State
Wisconsin
Zip
53092-4931
Phone Number
262-236-9147
Fax Number
person
Provider Business Mailing Address Details
Address
11120 N Range Line Rd
City
Mequon
State
Wisconsin
Zip
53092-4931
Phone Number
262-236-9147
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
166720030 (Wisconsin)
Definition
Definition to come...
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