Healthcare Provider Details

I. General information

NPI: 1992633291
Provider Name (Legal Business Name): BRIDGET ANN DOLLAR APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 26TH ST
PRAIRIE DU SAC WI
53578-2203
US

IV. Provider business mailing address

S9639 CENTER ST
PRAIRIE DU SAC WI
53578-9733
US

V. Phone/Fax

Practice location:
  • Phone: 608-643-3311
  • Fax:
Mailing address:
  • Phone: 608-217-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18361-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: