Gudex, Nancy L

Gudex, Nancy L is an individual health care provider with primary practice located at 3925 N Gateway Dr , Appleton WI 54913-7863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gudex, Nancy L can be contacted via phone (920) 749-1171.

Contact Information

Primary practice address
3925 N Gateway Dr Appleton WI 54913-7863
Phone: (920) 749-1171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2327003 Wisconsin

Profile Details

NPI number 1316072226
LBN Legal business name Gudex, Nancy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 8th, 2015 - about 11 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 1316072226 NPPES
Wisconsin MEDICAID 41178500

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