Individual
BRIDGET LYNN MOELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
(608) 392-7191
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
93387
WI
390200000X
Student in an Organized Health Care Education/Training Program
127598
IA
Other
Enumeration date
03/13/2012
Last updated
09/16/2020
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