Individual
LINDSAY VANSELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-6596
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192730-30
WI
363L00000X
Nurse Practitioner
Primary
6764-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437523669
—
WI
Enumeration date
11/27/2015
Last updated
05/15/2026
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