Individual
AUDREY MOELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4229 E BARRELTOWN RD, MINERAL POINT, WI 53565-9252
(608) 987-2893
Mailing address
4229 E BARRELTOWN RD, MINERAL POINT, WI 53565-9252
(608) 987-2893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28863031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38247100
—
WI
Enumeration date
10/12/2006
Last updated
07/09/2007
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