Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Creek Womens Clinic SC

Organization Nurse Practitioner · NPI 1609920743

Willow Creek Womens Clinic SC is a Nurse Practitioner 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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