Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WISCONSIN RESOURCE CENTER
Active OrganizationFamily Nurse Practitioner · WINNEBAGO, WI
Registration Details
- NPI Number
- 1669142949
- Provider Type
- Organization
- NPI Issued
- Sep 17, 2021 (4.6133576104464 yrs)
- Last Updated
- Sep 17, 2021
Practice Information
- Address
-
1505 NORTH DRIVEWINNEBAGO, WI, 549850016Browse WI providers · Browse ZIP 54985
- Phone
- 9204264310
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.