Individual
MS. AMY KATHRYN BODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1753 13TH ST, MONROE, WI 53566-2145
(608) 214-4706
Mailing address
1753 13TH ST, MONROE, WI 53566-2145
(608) 214-4706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167024-030
WI
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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