Individual
MRS. JUDY RAE FLADHAMMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14 E COTTONWOOD LN, MILTON, WI 53563
(608) 868-7466
(608) 868-5474
Mailing address
14 E COTTONWOOD LN, MILTON, WI 53563
(608) 868-7466
(608) 868-5474
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12438031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39980500
—
WI
Enumeration date
05/02/2006
Last updated
07/08/2007
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