Individual
RACHEL R DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
239 TROWBRIDGE DR, FOND DU LAC, WI 54937-9180
(920) 923-7950
(920) 356-0719
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2633-33
WI
363LF0000X
Family Nurse Practitioner
2633
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028274
PHYSICIANS PLUS
WI
05
—
36027400
—
WI
01
—
61267
DEAN HEALTH SYSTEMS
WI
Enumeration date
02/16/2007
Last updated
05/05/2022
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