Search › Wisconsin › 164W00000X
Bonita Brossard, LPN
NPI 1710264197 · on the registry since 2011
Practice
- Address
- 538 Dahl Dr
De Forest, WI 53532 - Phone
- (608) 846-4165
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin