Individual
MS. KRISTY NICOLE-ORTHA DYGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2230
(608) 363-7394
Mailing address
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-016098
IL
363L00000X
Nurse Practitioner
Primary
7056-33
WI
363LF0000X
Family Nurse Practitioner
7056-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058639
—
WI
Enumeration date
07/18/2016
Last updated
08/30/2018
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