Andrea Carol-Krug Balister, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Brookfield, WI

NPI

1356562078

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

31018-031 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-01

Last updated

2007-07-08