Individual
LYNN M MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, FNP-BC
Contact information
Practice address
1118 S NEENAH AVE, STURGEON BAY, WI 54235-1936
(920) 746-5091
Mailing address
1119 S NEENAH AVENUE, STURGEON BAY, WI 54235-3532
(920) 746-5091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
672-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43929800
—
WI
Enumeration date
08/11/2005
Last updated
10/25/2012
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