ELISSA M DERKSEN

WAUKESHA, WI
NPI1003573841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  30994431)
Enumeration Date2021-11-28
Last Update Date2021-11-28
Business Address
ELISSA M DERKSEN LPN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
ELISSA M DERKSEN LPN
407 HARTWOOD LN
HARTLAND, WI 53029-2409
Phone number: 920-309-2018