Health Grades

NPI 1467847509 - Point of Service - 305S00000X

NPI Details
NPI 1467847509
Enumeration Date 04/06/2015
Last Updated 04/06/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JILL JILL
Position RN SUPERVISOR
Phone (608) 692-2617
Fax
Practice Location
2927 COHO ST
MADISON WI, 53713-3069, US
Phone (608) 692-2617
Fax
Business Location
1002 N PINE ST
SUN PRAIRIE WI, 53590-1102, US
Phone (608) 385-9122
Fax
Toxanomy
Taxonomy Code 305S00000X
License State
License Number
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According to our database, Health Grades NPI is 1467847509, taxonomy code is 305S00000X Health Grades physically located at 2927 Coho St, Madison WI, 53713-3069. NPI Number 1033115704 has the healthcare provider type.

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1467847509 NPI number is provided on an as is basis without warranty of any kind. 1467847509 is maintained by the National Plan & Provider Enumeration System. The contents of Health Grades are for informational purposes only.