Andrea Carol-Krug Balister, LPN
NPI #1356562078 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1356562078
- Entity Type
- Individual
- Name
- Andrea Carol-Krug Balister, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14640 WOODLAND PL
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-1112
- Phone
- (262) 790-0933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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