Individual
LAURA GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9845 WINTERGREEN DRIVE, MINOCQUA, WI 54548
(715) 358-0129
Mailing address
9845 WINTERGREEN DR, MINOCQUA, WI 54548-9105
(715) 358-0129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141470
WI
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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