Individual
MICHELE ANN LADURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
340 N GREEN BAY AVE, SUITE 1, GILLETT, WI 54124-9325
(920) 855-2823
(920) 855-6343
Mailing address
340 N GREEN BAY AVE, GILLETT, WI 54124-9325
(920) 855-2823
(920) 855-6343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1075-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1134250905
GPCC NPI
WI
01
—
1851477913
CMH NPI
WI
01
—
390848401050
CMH ANTHEM
WI
Enumeration date
09/30/2005
Last updated
03/18/2013
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