Individual
BONNIE G RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4404 WI-70, WEBSTER, WI 54893
(715) 349-8554
Mailing address
203 SOUTH ST W, AMERY, WI 54001-1266
(171) 555-4436
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
253500
WI
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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