Traci L Gundlach, NP
Nurse Practitioner in Madison, WI. Individual provider (NPI-1).
NPI number1982106555
StatusActive
Last updated in NPPESJan 12, 2021
Details
- NPI
- 1982106555
- Entity type
- Individual (NPI-1)
- Name
- Traci L Gundlach
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2018
- Certification date
- Jan 12, 2021
- Last updated
- Jan 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8315 | WI | Yes |
Practice location
1 S Park StMadison, WI 53715-1375
Phone 608-287-2434 · Fax 608-287-2182
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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