Healthcare Provider Details

I. General information

NPI: 1932413945
Provider Name (Legal Business Name): AMY M HOPFENSPERGER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 N MEADE ST
APPLETON WI
54911-3454
US

IV. Provider business mailing address

3 NEENAH CTR
NEENAH WI
54956-3070
US

V. Phone/Fax

Practice location:
  • Phone: 920-735-7645
  • Fax:
Mailing address:
  • Phone: 920-735-7645
  • Fax: 920-735-7618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4094
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: