Individual
ELIZABETH ANN DORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
7861 STATE ROAD 60, CEDARBURG, WI 53012-9305
(262) 546-1050
(262) 546-1051
Mailing address
2062 BLACKFOOT AVE, GRAFTON, WI 53024-9581
(920) 905-5499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8770
WI
363L00000X
Nurse Practitioner
8770
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
8770-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082427
—
WI
Enumeration date
10/13/2018
Last updated
06/01/2022
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