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NPI Code Detail

MEDICARE: VICKIE J WOELFEL NP

MEDICARE: VICKIE J WOELFEL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3412-33WI
2363L00000XNurse PractitionerR147070-7MN

General Provider Information

NPI Number : 1144337999
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE J WOELFEL NP
Provider Business Mailing Address
First Line : 744 S WEBSTER AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3505
Country : US
Telephone Number : 920-445-7226
Fax Number : 920-445-7229
Provider Business Practice Location Address
First Line : 744 S WEBSTER AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3505
Country : US
Telephone Number : 920-433-3784
Fax Number : 920-433-7425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 03/10/2026

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