Individual
KELLY RAE HEMMER-RONDESTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
724 DENTON ST, LA CROSSE, WI 54601-5447
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
283
MN
363L00000X
Nurse Practitioner
R 147087-5
MN
363LA2200X
Adult Health Nurse Practitioner
11920-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11920-33
WI
Other
Enumeration date
08/16/2011
Last updated
11/11/2022
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