| Doctor Name: | MRS. NANCY ANN PEJSA |
| NPI Number: | 1255646725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, GNP |
| License Number: | 4180 |
| Business Practice Address: | 710 Riverside Dr Waupaca, WI - 549811941 |
| Business Phone Number: | 7152563000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8003, APPLETON |
| State: | WI |
| Postal Code: | 549128003 |
| Phone Number: | 9208305900 |
| Fax Number: | 9207385787 |
| NPI Enumeration Date: | 08/09/2010 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 4180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |