NPI 1104003623

Robin Rae Nitsch, LPNCFA

Practitioner Surgical Assistant Sheboygan, WI

Practice location

Address: 2920 Superior Ave, Sheboygan, WI 53081-1944
Phone: (920) 452-0446
Fax: (920) 458-3163

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 107170 (WI)

Other Specialist/Technologist, Other providers in Wisconsin →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 29008-031 (WI)

Other Licensed Practical Nurse providers in Wisconsin →

Registry record

NPI: 1104003623
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2008
Record last updated: 28 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.