Individual
LARONDA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9697 SAINT CATHERINES DR, PLEASANT PRAIRIE, WI 53158-2118
(262) 656-3338
(262) 656-3368
Mailing address
9697 SAINT CATHERINES DR, PLEASANT PRAIRIE, WI 53158-2118
(262) 656-3338
(262) 656-3368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9146-33
WI
363LF0000X
Family Nurse Practitioner
9146-33
WI
Other
Enumeration date
03/15/2019
Last updated
08/28/2019
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