Individual
BRIANNA BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 416-5777
Mailing address
1031 JILLS CT, WATERLOO, WI 53594-1193
(608) 630-4130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242392
WI
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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