Individual
MS. DEBORAH SUE PAFFENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
466-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466-033
WI APNP
WI
01
—
74524-030
WI REGISTERED NURSE
WI
Enumeration date
07/19/2006
Last updated
03/07/2023
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