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Lisa Jo Liedke, APNP
Nurse Practitioner in Fond Du Lac, Wisconsin
NPI 1336783042

Lisa Jo Liedke is a Nurse Practitioner based in Milwaukee, WI. Lisa Jo Liedke practices in Fond Du Lac, WI and has the professional credentials of APNP. The NPI Number for Lisa Jo Liedke is 1336783042 and holds a License No. 9728 (Wisconsin).

The current practice location address for Lisa Jo Liedke is 210 Wisconsin American Dr, Fond Du Lac, WI and can be reached out via phone at 920-907-7000.

Location: 210 Wisconsin American Dr, Fond Du Lac, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336783042
Provider Name
Lisa Jo Liedke
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
210 Wisconsin American Dr, Fond Du Lac, WI, 53215-2843
Phone Number
920-907-7000
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100095421 05 WI
institution
Provider Business Practice Location Address Details
Address
210 Wisconsin American Dr
City
Fond Du Lac
State
Wisconsin
Zip
54937-2999
Phone Number
920-907-7000
Fax Number
person
Provider Business Mailing Address Details
Address
210 Wisconsin American Dr
City
Fond Du Lac
State
Wisconsin
Zip
54937-2999
Phone Number
920-907-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
9728 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Occupational Health
Taxonomy
363LX0106X
License No.
9728 (Wisconsin)
Definition
Definition to come...
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