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Individual

AMBER RAE BLADORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
155084
WI
363LA2100X
Acute Care Nurse Practitioner
10002
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
155084
WI

Other

Enumeration date
03/03/2021
Last updated
04/01/2021
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