Individual
MRS. BONNIE LYNN SELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1723 NEW YORK AVE, MANITOWOC, WI 54220-3163
(920) 683-9447
Mailing address
621 N 10TH ST, MANITOWOC, WI 54220-3901
(920) 686-9085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128197
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38216700
—
WI
Enumeration date
03/21/2006
Last updated
07/09/2007
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