Individual
DONALD E. FONCREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
700 WEST AVENUE S., DDHS, LA CROSSE, WI 54601-4783
(608) 392-7000
(608) 392-7808
Mailing address
700 WEST AVENUE S., LA CROSSE, WI 54601-4783
(608) 392-7000
(608) 392-7808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2480-033
WI
363LF0000X
Family Nurse Practitioner
Primary
2480
WI
363LF0000X
Family Nurse Practitioner
2480-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41258000
—
WI
Enumeration date
07/15/2006
Last updated
07/26/2011
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