Individual
HEATHER R FOCHESATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(920) 433-6073
(715) 735-5388
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9202-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9202-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019074038
AMERICAN NURSES CREDENTIALING CENTER
—
01
—
F0215315
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
03/27/2015
Last updated
03/09/2020
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