Individual
RYAN D NADBORALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
Mailing address
830 E PERSHING ST, APPLETON, WI 54911-3001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2479-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41261000
—
WI
Enumeration date
07/16/2006
Last updated
02/20/2024
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