Individual
MS. HEIDI FOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 890-4588
(608) 890-2203
Mailing address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 890-4588
(608) 890-2203
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
110679-30
WI
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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