Individual
ANGELA PORCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1611 S MADISON ST, APPLETON, WI 54915-1844
(920) 730-5380
Mailing address
2500 E CAPITOL DR STE 1700, APPLETON, WI 54911-8735
(920) 734-9600
(920) 734-4773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6434-33
WI
363LF0000X
Family Nurse Practitioner
6434-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366825820
—
WI
Enumeration date
07/02/2015
Last updated
07/08/2021
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