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Individual

EMILY M BICANIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 380-4999
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 380-4999

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041439010
IL
363LF0000X
Family Nurse Practitioner
209017499
IL
363LF0000X
Family Nurse Practitioner
Primary
8561
WI

Other

Enumeration date
04/10/2018
Last updated
04/18/2023
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