NPI Profile for EMILY DODGE in APPLETON, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X | |||
Registered Nurse |
163W00000X |
| NPI # | 1710558630 |
|
| Status | Active | |
| Credentials | DNP APRN | |
| Entity | Individual | |
| Enumeration date | 07/02/2021 | |
| Last updated | 06/14/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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EMILY DODGE
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