Individual
BILLIE A STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8332
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4683
WI
363LA2100X
Acute Care Nurse Practitioner
4683-33
WI
Other
Enumeration date
11/14/2011
Last updated
05/22/2013
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