Individual
INDIRA BHAGWANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1969 WEST HART RD, BELOIT, WI 53511-2283
(608) 364-5689
(608) 364-5452
Mailing address
1969 WEST HART RD, BELOIT, WI 53511-2283
(608) 364-5689
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159448-030
WI
363L00000X
Nurse Practitioner
Primary
8397-33
WI
Other
Enumeration date
04/07/2008
Last updated
03/29/2022
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