Dassow, Nicole R

Dassow, Nicole R is an individual health care provider with primary practice located at 700 Park Ridge Ln , North Fond Du Lac WI 54937-1385. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dassow, Nicole R can be contacted via phone (920) 926-7800.

Contact Information

Primary practice address
700 Park Ridge Ln North Fond Du Lac WI 54937-1385
Phone: (920) 926-7800
Fax: (920) 921-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13161-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13161-033 Wisconsin

Profile Details

NPI number 1073237442
LBN Legal business name Dassow, Nicole R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2022
Last updated Jun 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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