Individual
HEATHER KRISTINE ELERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 526-3461
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229489-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9485-33
WI
Other
Enumeration date
08/12/2019
Last updated
02/26/2020
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