Individual
MRS. MARSHA LYNN BUVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8304 POINT CREEK ROAD, NEWTON, WI 53063
(920) 726-4367
Mailing address
8304 POINT CREEK ROAD, NEWTON, WI 53063
(920) 726-4367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22581031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38287100
—
WI
Enumeration date
06/21/2006
Last updated
07/08/2007
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