IndividualActive
Angela Vandewettering, NP
NPI 1124702220 · Nurse Practitioner · Manitowoc, WI
Provider details
- NPI number
- 1124702220
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 14063-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Phone: (920) 682-6376
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.