Nicole R Dassow, NP Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · North Fond Du Lac, WI
- NPI
- 1073237442
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 13161-033 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-09-29
- Last updated
- 2023-06-07
Practice location
700 Park Ridge Ln
North Fond Du Lac, WI 54937-1385
(920) 926-7800