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Organization

ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

Active
Parent organization
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Other names
St Nicholas Hospital Professional Services Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Authorized official
ANDREW BAGNALL (CEO)
(920) 459-4705
Entity
Organization

Contact information

Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 459-8300
Mailing address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 459-8300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/30/2014
Last updated
12/22/2021
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