Individual provider · Type 1 NPI
Stephanie Jusczak
Home Health Registered Nurse · Moose Lake, MN
NPI number
1114628336
Active
Practice location
3950 North Rd
Moose Lake, MN 55767-8152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 215533-5 (MN) |
Home Health Registered Nurse: Definition to come...
About NPI 1114628336
Stephanie Jusczak's National Provider Identifier is 1114628336, issued on Mar 14, 2023. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Moose Lake, MN. The record was last updated on Mar 14, 2023.