Individual
ASHLEE K REGENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1103 WHITEWATER AVE, FORT ATKINSON, WI 53538-2669
(608) 516-1758
Mailing address
2747 PARK PLACE LN APT 51, JANESVILLE, WI 53545-5264
(608) 516-1758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325183-31
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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