Provider Demographics
NPI:1972584324
Name:MCLAUGHLIN, NANCY A (APNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:A
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:A
Other - Last Name:WLODAREZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1222 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3171
Mailing Address - Country:US
Mailing Address - Phone:920-457-6800
Mailing Address - Fax:
Practice Address - Street 1:1222 N 23RD ST
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3171
Practice Address - Country:US
Practice Address - Phone:920-457-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2352033363LA2200X
NH092889-23363LA2200X
WI2352363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1972584324Medicaid
WI1972584324Medicaid
R88824Medicare UPIN