Individual
RYAN J HERMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 454-8401
(920) 993-5037
Mailing address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 454-8401
(920) 993-5037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158574-30
WI
363L00000X
Nurse Practitioner
Primary
4537-33
WI
Other
Enumeration date
07/15/2011
Last updated
05/02/2024
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