Individual
LARA NICOLE GINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1310 BROADWAY, WISCONSIN DELLS, WI 53965-1358
(608) 253-1171
(608) 253-8012
Mailing address
1310 BROADWAY, WISCONSIN DELLS, WI 53965-1358
(608) 253-1171
(608) 253-8012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13998
WI
363LF0000X
Family Nurse Practitioner
13998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770275992
—
WI
Enumeration date
05/25/2023
Last updated
08/02/2023
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