institution
Prairie Ridge Health, Inc.
Family Health Clinical Nurse Specialist in Marshall, Wisconsin
NPI 1477005544

Prairie Ridge Health, Inc. is a Family Health Clinical Nurse Specialist based in Marshall, WI and is specialized in Family Health. Prairie Ridge Health, Inc. practices in Marshall, WI. The NPI Number for Prairie Ridge Health, Inc. is 1477005544 and holds a License No. 21498-20 (Wisconsin).

The current practice location address for Prairie Ridge Health, Inc. is 301 W Main St, Marshall, WI and can be reached out via phone at 920-623-2200 and via fax at 920-623-1441.

Location: 301 W Main St, Marshall, WI, 53559-0418
institution
Provider Profile Details
NPI Number
1477005544
Provider Name
Prairie Ridge Health, Inc.
Credential
Provider Entity Type
Organization
Address
301 W Main St, Marshall, WI, 53559-0418
Phone Number
920-623-2200
Fax Number
920-623-1441
Provider Enumeration Date
10/25/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52D2123598 01 WI CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
301 W Main St
City
State
Zip
53559-9799
Phone Number
920-623-2200
Fax Number
920-623-1441
person
Provider Business Mailing Address Details
Address
301 W Main St
City
State
Zip
53559-9799
Phone Number
920-623-2200
Fax Number
920-623-1441
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
2985 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
License No.
21498-20 (Wisconsin)
Definition
Definition to come...
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