Organization Name: | NONE |
NPI Number: | 1558601906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELYN KSOBIECH (REGISTERED NURSE) |
Mailing Address: | 6058 Oriole Ln Greendale |
State: | WI US |
Postal Code: | 531292552 |
Phone Number: | 4142417583 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 194720-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |