Individual
ERICA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3530 NORTON ST APT 201, WISCONSIN RAPIDS, WI 54494-1651
(715) 459-3725
Mailing address
3530 NORTON ST APT 201, WISCONSIN RAPIDS, WI 54494-1651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319751-31
WI
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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