Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Willow Creek Womens Clinic SC

Organization Nurse Practitioner · NPI 1609920743

Willow Creek Womens Clinic SC provides Nurse Practitioner services in Altoona, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1470 Rivers Edge Trl Ste 3
Altoona, WI 54720-2755
Phone: (715) 832-9292
Fax: (715) 832-4172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 85943 030 NP (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 684 033 APNP (WI)

Record details

NPI number1609920743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Fossum — Owner · (715) 832-9292
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address1470 Rivers Edge Trl Ste 3, Altoona, WI 54720-2755

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