Individual provider · NPI-1

Heidi Fogo, RN, BSN

Registered Nurse, College Health · Madison, WI

NPI number1093158198
StatusActive
Last updated in NPPESApr 9, 2013

Details

NPI
1093158198
Entity type
Individual (NPI-1)
Name
Ms. Heidi Fogo
Credential
RN, BSN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2013
Last updated
Apr 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC1400X Registered Nurse, College Health110679-30WIYes

Practice location

333 E Campus Mall
Madison, WI 53715-1365

Phone 608-890-4588 · Fax 608-890-2203

Mailing address

333 E Campus Mall
Madison, WI 53715-1365

Phone 608-890-4588 · Fax 608-890-2203

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