Dessart, Erica L

Dessart, Erica L is an individual health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dessart, Erica L can be contacted via phone (920) 793-7420.

Contact Information

Primary practice address
5300 Memorial Dr Two Rivers WI 54241
Phone: (920) 793-7420
Fax: (920) 793-7430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5420-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5420 Wisconsin

Profile Details

NPI number 1174958193
LBN Legal business name Dessart, Erica L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Oct 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174958193 NPPES
Wisconsin MEDICAID 100065260
Wisconsin MEDICAID 100065388

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