Individual
EMILY DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN
Contact information
Practice address
2500 E CAPITOL DR STE 1700, APPLETON, WI 54911-8735
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 358-1729
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225906
WI
163WM0705X
Medical-Surgical Registered Nurse
548887
WI
363LF0000X
Family Nurse Practitioner
Primary
762335
WI
Other
Enumeration date
07/02/2021
Last updated
06/14/2024
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