Individual
JENNIFER ROSE NOGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
(262) 626-4616
Mailing address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
(262) 626-4616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8708-33
WI
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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