Individual
ASHLEY ELIZABETH BONTRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15040 HUNTING RIDGE CT, GRANGER, IN 46530-9690
(574) 274-7548
Mailing address
15040 HUNTING RIDGE CT, GRANGER, IN 46530-9690
(574) 274-7548
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28215537A
IN
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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