Individual
LAURA L NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-5603
Mailing address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-5603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7957-33
WI
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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