Verkuilen, Pam E

Verkuilen, Pam E is an individual health care provider with primary practice located at 5320 W Michaels Drive , Appleton WI 54913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Verkuilen, Pam E can be contacted via phone (920) 882-8200.

Contact Information

Primary practice address
5320 W Michaels Drive Appleton WI 54913
Phone: (920) 882-8200
Fax: (920) 882-8210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 94980 Wisconsin

Profile Details

NPI number 1659363778
LBN Legal business name Verkuilen, Pam E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 years 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 1659363778 NPPES
Wisconsin MEDICAID 43879200

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