HOLLY DORN SAPA NPI 1619490786

NPI Information

  • NPI: 1619490786
  • Provider Name: HOLLY DORN, SAPA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Individual
  • Address: 1125 WITTMANN DR
    MENASHA, WI
    ZIP 54952
  • Phone: (920) 558-3600

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NPI Details

Holly Dorn, SAPA is a clinic center in Menasha, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Holly Dorn, SAPA NPI is 1619490786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1125 WITTMANN DR
MENASHA, WI
ZIP 54952-607
Phone: (920) 558-3600
Fax: (920) 997-8170

The enumeration date for this NPI number is 7/20/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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