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Contact Information

CARRIE A ROTHERING, NP
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI54937
 Phone: 920-926-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CARRIE A ROTHERING · (Female)

NPI # 1699963363
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/09/2007
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 150226-030
  • WI License # 4992
Hospital affiliation(s)
  • ST JOSEPHS COM HSPTL WEST BEND - (Acute Care)
    3200 PLEASANT VALLEY ROAD
    WEST BEND, WI 53095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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