Laura E Ballweg, APNP Valid NPI
Individual provider · Nurse Practitioner · Portage, WI
- NPI
- 1770938771
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 6931-33 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-04-27
- Last updated
- 2016-11-23
Practice location
2825 Hunters Trl
Portage, WI 53901-3429
(608) 742-7161