Individual
ANDREW BENTON PADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 742-4131
Mailing address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
227040-30
WI
363L00000X
Nurse Practitioner
Primary
9540-33
WI
Other
Enumeration date
12/28/2018
Last updated
06/20/2025
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