EMILY DODGE

APPLETON, WI
NPI1710558630
Former NameEMILY GERRITS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  762335)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WI  225906)
163WM0705X Registered Nurse, Medical-Surgical
(Licence: WI  548887)
Enumeration Date2021-07-02
Last Update Date2024-06-14
Business Address
EMILY DODGE DNP APRN
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911-8735
Phone number: 920-731-8131
Mailing Address
EMILY DODGE DNP APRN
2000 E MILESTONE DR
APPLETON, WI 54913-6701
Phone number: 920-358-1729