OrganizationActive
Fond Du Lac County
NPI 1407785207 · Long-Term Care Clinical Nurse Specialist · Fond Du Lac, WI
Provider details
- NPI number
- 1407785207
- Entity type
- Organization
- Primary specialty
- Long-Term Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michelle Paul, Business Operations Division Manage(920) 929-3446
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
79 E 9th St
Fond Du Lac, WI 54935-5056
Phone: (920) 929-3482
Approximate (ZIP-level) locationGet directions
Mailing address
79 E 9th St
Fond Du Lac, WI 54935-5056
Other names (DBA / former)
- Doing business as
- Susan M Lopau Memorial Shelter Care
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.