Individual
KATIE ANN NEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E HIGHLAND DR, OCONTO FALLS, WI 54154-1002
(920) 846-3092
Mailing address
107 E HIGHLAND DR, OCONTO FALLS, WI 54154-1002
(920) 846-3092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231983
WI
363L00000X
Nurse Practitioner
11118
WI
363LF0000X
Family Nurse Practitioner
Primary
11118-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186317
—
WI
Enumeration date
02/08/2017
Last updated
01/28/2025
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