| Doctor Name: | CARLA BUDROW |
| NPI Number: | 1063843704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 156885-030 |
| Business Practice Address: | 436 Columbia Ave De Forest, WI - 535321331 |
| Business Phone Number: | 6088469392 |
| Business Fax Number: | |
| Mailing Address: | 436 Columbia Ave., DEFOREST |
| State: | WI |
| Postal Code: | 535321331 |
| Phone Number: | 6088469392 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 12/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 156885-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |