Doctor Name: | ANISSA CHENON LAGANIERE |
NPI Number: | 1447503610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNBSN |
License Number: | 19023630 |
Business Practice Address: | 28883 Rustic Village Ln Richland Center, WI - 535816711 |
Business Phone Number: | 6084753412 |
Business Fax Number: | |
Mailing Address: | 28883 Rustic Village Ln, RICHLAND CENTER |
State: | WI |
Postal Code: | 535816711 |
Phone Number: | 6084753412 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 19023630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |