Willett, Marjorie Ann

Willett, Marjorie Ann is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. 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. Willett, Marjorie Ann can be contacted via phone (262) 741-2380.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3813-33 Wisconsin

Profile Details

NPI number 1598996258
LBN Legal business name Willett, Marjorie Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Oct 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598996258 NPPES
Wisconsin MEDICAID 100005788

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