Individual provider · NPI-1
Joseph W Liggett Jr.
Clinical Nurse Specialist · Madison, WI
NPI number1225657539
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1225657539
- Entity type
- Individual (NPI-1)
- Name
- Joseph W Liggett Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 122977-30 | WI | Yes |
Practice location
202 S Park StMadison, WI 53715-1507
Phone 608-417-6993
Mailing address
2752 Alice CirStoughton, WI 53589-3353
Phone 608-877-2607
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