| NPI | 1386155216 |
|---|---|
| Other Name | MHHCS AT KWIK TRIP APPLETON |
| Other Name | MHHCS @ KWIK TRIP APPLETON |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-06-16 |