Individual
GEORGINE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8700
Mailing address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5939
WI
Other
Enumeration date
08/12/2014
Last updated
04/29/2016
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