Most Relevant Information
Provider Data
| NPI Number: | 1003460437 |
| Provider Name: | LAURA GENTILE RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 141300-030 |
Most Important Dates
| Enumeration Date: | 07/24/2019 |
| Last Updated: | 07/24/2019 |
Provider Practice Location
W216S10586 CROWBAR DR
MUSKEGO
WI
531508464
Practice Location Phone/Fax
| Phone: | 2629711820 |
| Fax: |
Provider Mailing Location
W169S7961 SARAH CT
MUSKEGO
WI
531508044
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |