Doctor Name: | KIRSTEN ELIZABETH DOLAN DREWLOW |
NPI Number: | 1215247432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 149729-30 |
Business Practice Address: | 1407 Saint Andrew Street Suite 100 Lacrosse, WI - 546032378 |
Business Phone Number: | 6087856375 |
Business Fax Number: | |
Mailing Address: | 35685 Thirs Street, INDEPENDENCE |
State: | WI |
Postal Code: | 54747 |
Phone Number: | 5074598181 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 149729-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |