Individual
RHEA FOFANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7829-33
WI
363LF0000X
Family Nurse Practitioner
7829
WI
363LP2300X
Primary Care Nurse Practitioner
7829
WI
Other
Enumeration date
07/31/2017
Last updated
04/15/2025
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