MRS. LINDA JEAN DECLEENE


Address: 252 Valley View Dr, Brillion, WI 54110-1420
Phone: 9203270103

MRS. LINDA JEAN DECLEENE (NPI# 1326367251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326367251
Entity Type Individual
Full Name MRS. LINDA JEAN DECLEENE
Credential RN
Practice Address 252 Valley View Dr
Brillion
WI 54110-1420
Practice Telephone 9203270103
Mailing Telephone 9203270103
Enumeration Date 2010-05-17
Last Update Date 2010-05-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
112388-30 WI Nursing Service Providers

Office Location

Street Address 252 VALLEY VIEW DR
City BRILLION
State WI
Zip Code 54110-1420

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City BRILLION
Zip Code 54110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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