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Individual

MRS. VICKY RACHELLE LOVERIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
5008 N WATERFORD DR, APPLETON, WI 54913-6610
(920) 830-3327
Mailing address
5008 N WATERFORD DR, APPLETON, WI 54913-6610
(920) 830-3327

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
3021033
WI

Other

Enumeration date
06/13/2009
Last updated
06/13/2009
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