Individual
PAIGE BROCKDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8210
Mailing address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11108-33
WI
Other
Enumeration date
09/29/2021
Last updated
03/03/2025
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