Individual
MR. HERBERT J FELLERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081
(920) 457-4461
(920) 459-1483
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2466
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2466-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016363
—
WI
05
—
41265500
—
WI
Enumeration date
08/20/2006
Last updated
12/01/2021
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