Provider Demographics
NPI:1609067388
Name:BUCHHOLZ, NANCY L (APNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:BUCHHOLZ
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:L
Other - Last Name:BUCHHOLZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APNP
Mailing Address - Street 1:2500 E CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8735
Mailing Address - Country:US
Mailing Address - Phone:920-738-4600
Mailing Address - Fax:
Practice Address - Street 1:2500 E CAPITOL DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-8735
Practice Address - Country:US
Practice Address - Phone:920-738-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI79309163WX0800X
WI4030-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic