is a Diabetes Educator in Woodruff, Wisconsin. practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for is 1780894212. The last update date is .
's current location address is 240 Maple Street, Woodruff, Wisconsin. You can contact this provider via phone number 7153568153 and fax number 7153568228. The mailing address for is 240 Maple Street, Woodruff, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 240 Maple Street, Woodruff, Wisconsin |
| Phone Number | 7153568153 |
| Fax Number | 7153568228 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1780894212 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 240 Maple Street |
|---|---|
| City | Woodruff |
| State | Wisconsin (WI) |
| Post Code | 54568 |
| Phone Number | 7153568153 |
| Fax Number | 7153568228 |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99999999 | WV | -- |
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