Individual
MS. DENISE LEA BOMKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
594 BOWERS RD, HIGHLAND, WI 53543-9620
(608) 929-7444
Mailing address
594 BOWERS RD, HIGHLAND, WI 53543-9620
(608) 929-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39826200
—
WI
Enumeration date
09/26/2006
Last updated
07/09/2007
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