JORDAN ELIZABETH LOOSE

KIEL, WI
NPI1780429613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  15537)
Enumeration Date2024-07-01
Last Update Date2024-08-13
Business Address
JORDAN ELIZABETH LOOSE APNP
1160 SERVICE RD
KIEL, WI 53042-1281
Phone number: 920-894-3322
Mailing Address
JORDAN ELIZABETH LOOSE APNP
N6291 PAUL RD
BRILLION, WI 54110-9428
Phone number: 920-901-6066