IndividualActive
Courtney Collien
NPI 1124443726 · Adult Health Nurse Practitioner · Fond Du Lac, WI
Provider details
- NPI number
- 1124443726
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 166270 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
889 E Johnson St
Fond Du Lac, WI 54935-2933
Phone: (920) 367-6700
Approximate (ZIP-level) locationGet directions
Mailing address
2725 Jackson St
Oshkosh, WI 54901-1513
Registry dates
- Enumerated
- 2014-02-19
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.