Individual
HEATHER SUZANNE KRENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16578-33
WI
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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