Individual
MRS. ANNE KATHERINE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC, CPST
Contact information
Practice address
1300 W MAIN AVE, DE PERE, WI 54115-9366
(920) 336-6594
(920) 336-7132
Mailing address
3040 CRUSADE LN, GREEN BAY, WI 54313-5400
(920) 615-0506
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
150640-30
WI
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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