Individual
NANCY BUMGARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1201 CALEDONIA ST, LA CROSSE, WI 54603-2514
(608) 775-8380
(608) 775-8385
Mailing address
N5253 HIDDEN RIVER RD, WEST SALEM, WI 54669-9251
(608) 775-8380
(608) 775-8385
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43916300
—
WI
Enumeration date
06/19/2006
Last updated
07/08/2007
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