Individual
NATHAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 BROADWAY ST, PLATTEVILLE, WI 53818-2821
(608) 732-6121
Mailing address
70 BROADWAY ST, PLATTEVILLE, WI 53818-2821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226681-30
WI
164W00000X
Licensed Practical Nurse
316881-31
WI
Other
Enumeration date
02/14/2014
Last updated
02/25/2016
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