Individual
MS. CATHY M SUKOWATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, MSN, BSN
Contact information
Practice address
1111 BAYSHORE DR, MANITOWOC, WI 54220-5548
(920) 682-6376
(920) 652-0115
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1120
WI
363LA2200X
Adult Health Nurse Practitioner
1120-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43861300
—
WI
Enumeration date
12/11/2006
Last updated
04/10/2024
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