Individual
ALICIA MARIE ROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-7400
Mailing address
801 APPLETON RD, MENASHA, WI 54952-2423
(920) 851-8198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11426-33
WI
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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