Brandon Fett LPN

NPI 1215214408 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1215214408
Gender Male
Enumeration Date 11/16/2011
Last Updated 11/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
160 PROUDFIT ST
MADISON WI, 53715-1428, US
Phone (608) 556-8155
Fax
Business Location
160 PROUDFIT ST.
MADISON WI, 53715, US
Phone (608) 556-8155
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 307420-31
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According to our database, Brandon Fett LPN NPI is 1215214408, taxonomy code is 164W00000X and license number is 307420-31, license state is located at Wisconsin. Brandon Fett LPN physically located at 160 Proudfit St, Madison WI, 53715-1428. NPI Number Brandon Fett LPN has the Individual type.

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1215214408 NPI number is provided on an as is basis without warranty of any kind. 1215214408 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Fett LPN are for informational purposes only.