Individual
COURTNEY PRUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Mailing address
175 NAUTICAL DR, APT 3, STURGEON BAY, WI 54235-2871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5633
WI
363LF0000X
Family Nurse Practitioner
5633-33
WI
Other
Enumeration date
01/02/2014
Last updated
12/01/2021
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