Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 8338 | WI |
NPI | 1003318437 |
---|---|
Provider Name | Elizabeth A Barthel |
First Address | Appleton, WI 54911-5794 |
Second Address | Appleton, WI 54911-8735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2018 |
Last Update Date | 13/04/2018 |