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Individual

MS. ANNMARIE KATHLEEN RANSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
225 CHURCH ST, STOUGHTON, WI 53589
(608) 877-2700
(608) 877-2726
Mailing address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7277-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7277-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679959829
WI
Enumeration date
08/10/2015
Last updated
05/15/2023
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