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Individual

MRS. MICHELLE M HERMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
112 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5970

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
144415-030
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
8007
WI

Other

Enumeration date
12/30/2010
Last updated
03/17/2018
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