Individual provider · Type 1 NPI
Jens Paul Nuesken, LPTA
Specialist · Delavan, IL
NPI number
1770899254
Active
Practice location
505 W 4th St
Delavan, IL 61734-9688
Mailing address
PO Box 684
Delavan, IL 61734-0684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 160005451 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1770899254
Jens Paul Nuesken, LPTA's National Provider Identifier is 1770899254, issued on Aug 23, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Delavan, IL. The record was last updated on Aug 23, 2010.