Ann Nollet, CSFA
Individual provider Active NPI Surgical Assistant · Foxboro, WI
NPI 1801330709 · NPPES record last updated Dec 12, 2016
Key facts
- NPI
- 1801330709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 170348 (MN)
- Practice address
- 2876 E Carlson Rd
Foxboro, WI 54836-9511 - Phone
- (218) 391-1996
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170348 | MN | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 170348 | MN | Yes |
Addresses
Primary practice location
2876 E Carlson Rd
Foxboro, WI 54836-9511
Mailing address
2876 E Carlson Rd
Foxboro, WI 54836-9511
Phone (218) 391-1996
Other providers in Foxboro, WI
All providers in Foxboro, WI · Surgical Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.