Individual
MRS. ACACIA L ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RNC-OB, IBCLC
Contact information
Practice address
277 N 9TH ST, DE PERE, WI 54115-1548
(920) 336-6594
Mailing address
17718 MARQUETTE RD, REEDSVILLE, WI 54230-9010
(920) 797-9055
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-126781
WI
163WX0003X
Inpatient Obstetric Registered Nurse
201504-30
WI
Other
Enumeration date
07/24/2020
Last updated
11/30/2022
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