Individual
MEGHAN BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2700 W 9TH AVE STE 213, OSHKOSH, WI 54904-7865
(920) 831-8900
Mailing address
212 GORDON ST, SAINT CLOUD, WI 53079-1458
(920) 904-6286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11229-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11229-33
WI STATE LICENSE NUMBER
WI
Enumeration date
08/19/2021
Last updated
08/30/2021
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