Provider Demographics
NPI:1396031274
Name:NALEPINSKI, COLLEEN ELIZABETH GOSA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:ELIZABETH GOSA
Last Name:NALEPINSKI
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:525 S SILVERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3868
Mailing Address - Country:US
Mailing Address - Phone:262-334-6020
Mailing Address - Fax:262-334-6067
Practice Address - Street 1:525 S SILVERBROOK DR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3868
Practice Address - Country:US
Practice Address - Phone:262-334-6020
Practice Address - Fax:262-334-6067
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-09-14
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Provider Licenses
StateLicense IDTaxonomies
WI2763-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2763OtherSTATE