Individual
AUDREY BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 E BADGER RD, SUITE A, MADISON, WI 53713-2708
(608) 250-2512
(608) 250-2516
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
189456-30
WI
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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