Individual
LAURA ANNE GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Mailing address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13003-33
WI
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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