Individual
BONNIE J NESBITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
53119
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43995200
—
WI
Enumeration date
06/13/2005
Last updated
07/08/2007
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