Nadboralski, Ryan D

Nadboralski, Ryan D is an individual health care provider with primary practice located at 800 Riverside Dr , Waupaca WI 54981-1943. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Nadboralski, Ryan D can be contacted via phone (715) 258-1000.

Contact Information

Primary practice address
800 Riverside Dr Waupaca WI 54981-1943
Phone: (715) 258-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2479-033 Wisconsin

Profile Details

NPI number 1932126943
LBN Legal business name Nadboralski, Ryan D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Feb 20th, 2024 - about 10 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932126943 NPPES
Wisconsin MEDICAID 41261000

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