Mary Itzenheiser
NPI #1700321726 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1700321726
- Entity Type
- Individual
- Name
- Mary Itzenheiser
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Diabetes Educator
- Enumeration Date
- Dec 29, 2016
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 252 MCHENRY ST
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-1828
- Phone
- (262) 767-6487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Diabetes Educator — Diabetes Educator |
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