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Individual

KATIE A RUPPENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 831-5050
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
(920) 725-6535

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150735
WI
363LF0000X
Family Nurse Practitioner
Primary
7062
WI

Other

Enumeration date
07/07/2016
Last updated
08/09/2022
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