Individual
MOLLY E WILLENBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2693
WI
363LW0102X
Women's Health Nurse Practitioner
5114
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41271500
—
WI
Enumeration date
03/10/2006
Last updated
07/12/2017
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