Individual
CLARA JOSEPHINE ACKER BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1608 HILLSIDE ROAD, CAMBRIDGE, WI 53523
(608) 423-3489
Mailing address
4252 POLARIS PARKWAY, JANESVILLE, WI 53546
(608) 868-7582
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21166031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38352500
—
WI
Enumeration date
01/09/2007
Last updated
07/08/2007
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