MRS. BONITA BROSSARD, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1710264197
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 25344-031 (WI) |
Frequently Asked Questions
NPI 1710264197 is the National Provider Identifier for MRS. BONITA BROSSARD, LPN, a Licensed Practical Nurse provider located in De Forest, WI. This NPI was enumerated on November 13, 2011.
MRS. BONITA BROSSARD, LPN practices at 538 DAHL DR, De Forest, WI 53532.
Quick Facts
- NPI
- 1710264197
- Type
- Individual
- Enumerated
- Nov 13, 2011
- Last Updated
- Nov 13, 2011
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