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Individual

HERBERT A NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4232

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7113-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230253-30
RN LICENSE
WI
Enumeration date
10/19/2016
Last updated
08/09/2023
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