NPI Profile for HERBERT J FELLERER in SHEBOYGAN, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1407961584 |
|
| Status | Active | |
| Credentials | APNP | |
| Entity | Individual | |
| Enumeration date | 08/20/2006 | |
| Last updated | 12/01/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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HERBERT J FELLERER
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