Kourtney Christin Henrickson, LPN
NPI #1508122011 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1508122011
- Entity Type
- Individual
- Name
- Kourtney Christin Henrickson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 9, 2012
- Last Updated
- Apr 9, 2012
Practice Location
- Address
- 1946 30TH ST
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-2022
- Phone
- (920) 905-3307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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