Individual
GINGER GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 N BALLARD RD, APPLETON, WI 54911-8928
(920) 733-4443
Mailing address
3301 N BALLARD RD, APPLETON, WI 54911-8928
(920) 733-4443
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316722-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316722-31
LPN
WI
Enumeration date
01/21/2016
Last updated
01/21/2016
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