Individual
MS. ASHLEY LAUREN PROCKNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
105 BOWEN ST, OSHKOSH, WI 54901
(920) 410-3577
Mailing address
105 BOWEN ST, OSHKOSH, WI 54901-5221
(920) 410-3577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175936-30
WI
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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