Individual provider · Type 1 NPI
Michelle A. Pevonka-Thompson, BSN, RN
Community Health Registered Nurse · Appleton, WI
NPI number
1134480379
Active
Practice location
128 Northbreeze Dr
Appleton, WI 54911-1225
Fax (920) 968-7707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 123478-30 (WI) |
Community Health Registered Nurse: Definition to come...
Other community health registered nurse providers in Appleton
About NPI 1134480379
Michelle A. Pevonka-Thompson, BSN, RN's National Provider Identifier is 1134480379, issued on Jun 5, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Appleton, WI. The record was last updated on Mar 4, 2017.