MRS. Jill Marie Van Lyssel, R.N.

NPI #1033421771 in Fremont, Wisconsin

Provider Information

NPI Number: 1033421771
Entity Type: Individual
Name: MRS. Jill Marie Van Lyssel, R.N.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: R.N.
Enumeration Date: Jul 10, 2010
Last Updated: Jul 10, 2010

Practice Location

Address: W330 EDLUND LN
City: Fremont
State: Wisconsin
ZIP Code: 54940-8513
Phone: (920) 538-3828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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