Individual
EMMA J. BANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 WEST AVENUE SOUTH, LA CROSSE, WI 54601
(608) 782-9760
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
200340596RN
OR
363L00000X
Nurse Practitioner
Primary
164299
WI
363LF0000X
Family Nurse Practitioner
3490
WI
Other
Enumeration date
07/28/2007
Last updated
07/25/2022
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