Individual
ENKHRIIMAA BAVUUDORJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5270 SUMMER RIDGE DR, MADISON, WI 53704-8519
(224) 469-5028
Mailing address
5270 SUMMER RIDGE DR, MADISON, WI 53704-8519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041473593
IL
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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