Most Relevant Information
Provider Data
| NPI Number: | 1003458472 |
| Provider Name: | ANGELA LYNN BUBNICK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 229428-30 |
Most Important Dates
| Enumeration Date: | 10/17/2019 |
| Last Updated: | 12/12/2022 |
Provider Practice Location
W1011 HUNTER LN
IXONIA
WI
530369482
Practice Location Phone/Fax
| Phone: | 4146178522 |
| Fax: |
Provider Mailing Location
W1011 HUNTER LN
IXONIA
WI
530369482
Provider Mailing Phone/Fax
| Phone: | 4146178522 |
| Fax: |