Individual
AMBIR DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
1234 MONROE ST, OSHKOSH, WI 54901-3934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11150-33
WI
363LF0000X
Family Nurse Practitioner
11150-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183523
—
WI
Enumeration date
10/05/2021
Last updated
12/05/2022
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