Individual
MRS. KAITLYN ANNE BODETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-3311
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13142
WI
Other
Enumeration date
09/12/2022
Last updated
10/05/2022
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