Individual
CHEYENNE NODORFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 E LIBERTY ST, BELMONT, WI 53510-9688
(608) 341-6928
Mailing address
645 E LIBERTY ST, BELMONT, WI 53510-9688
(608) 341-6928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
248919-30
WI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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