Individual
LAURA J BRADSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
619 WINDLACH ST, NEW GLARUS, WI 53574-9439
(414) 412-0427
Mailing address
619 WINDLACH ST, NEW GLARUS, WI 53574-9439
(414) 412-0427
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13111
WI
Other
Enumeration date
10/26/2022
Last updated
07/08/2024
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