Individual
ELIZABETH SUE DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
Mailing address
324 S MATTHIAS ST, APPLETON, WI 54915-3218
(920) 850-9103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13965-33
WI
Other
Enumeration date
05/16/2023
Last updated
09/18/2024
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