Individual
LAUREL J RUNTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 563-5500
(920) 563-4472
Mailing address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 563-5500
(920) 563-4472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
87913-030
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
543-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43841100
—
WI
Enumeration date
07/09/2006
Last updated
03/07/2023
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