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NPI Code Detail

MEDICARE: DR. LUCELINA BADURA NP-C

MEDICARE: DR. LUCELINA BADURA NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP60816375WA
2363LF0000XFamily Nurse PractitionerR177824MD
3363L00000XNurse Practitioner13265-033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134309230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCELINA BADURA NP-C
Provider Business Mailing Address
First Line : W231N1440 CORPORATE CT
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1503
Country : US
Telephone Number : 262-896-6030
Fax Number :
Provider Business Practice Location Address
First Line : W231N1440 CORPORATE CT
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1503
Country : US
Telephone Number : 262-896-6030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 01/04/2023

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1629413927 — DR. DANIEL EDWARD KNAPP D.O.
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