Michaelson, Gladys Beth

Michaelson, Gladys Beth is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Michaelson, Gladys Beth can be contacted via phone (920) 730-6700.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 730-6700
Fax: (920) 730-2615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 102011 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 102011-030 Wisconsin

Profile Details

NPI number 1205828654
LBN Legal business name Michaelson, Gladys Beth
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 2nd, 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 1205828654 NPPES
Wisconsin MEDICAID 43977600

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