MARY DAHL (NPI# 1386034734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386034734 |
Entity Type | Individual |
Full Name | MARY DAHL |
Credential | R.N. |
Practice Address |
352 S Brown Ave Peshtigo WI 54157-1523 |
Practice Telephone | 9205911510 |
Mailing Telephone | 9205911510 |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
64020-030 | WI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366841223 | Mary Elizabeth Dahl | Registered Nurse | 7467 Mission Gorge Rd, Spc#262, Santee, CA 92071-3320 | 2014-08-17 |
1255414991 | Mary E Dahl | Dermatology | 977 Pacific St, Ste A, Monterey, CA 93940 | 2006-10-24 |
1023119005 | Mary Louise Dahl | Occupational Therapist | 1004 Fowler Way, Suite 9, Placerville, CA 95667 | 2006-09-25 |
Street Address |
352 S BROWN AVE |
City | PESHTIGO |
State | WI |
Zip Code | 54157-1523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477806131 | Nick Jackson Jr. | Pharmacist | N3108 Schacht Rd., Peshtigo, WI 54157 | 2012-10-18 |
1114205960 | Cami Rose Olson | Physical Therapy Assistant | 701 Willow Street, Peshtigo, WI 54157 | 2011-07-28 |
1508173642 | Sara Simon | Occupational Therapist | 701 N. Lake Street, Peshtigo, WI 54157 | 2010-09-10 |
1295967743 | Regina Marie Leary | Occupational Therapy Assistant | 261 French Street, Peshtigo, WI 54157 | 2009-08-18 |
1730687252 | Ryan Weisnicht | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54157 | 2018-01-30 |
1285921353 | Leigh A Mcgough | Nurse Practitioner | 441 French St, Peshtigo, WI 54157 | 2011-07-08 |
1427203827 | Justine Ann Bantle | Occupational Therapy Assistant | 701 Willow St, Peshtigo, WI 54157 | 2008-11-26 |
1447447099 | Beth Ann Earley | Physical Therapy Assistant | 620 Harper Ave, Whispering Oaks Care Center, Pestigo, WI 54157 | 2007-09-27 |
1700884293 | Magnicare, Inc. | Skilled Nursing Facility | 501 N Lake St, Peshtigo, WI 54157-1013 | 2005-07-08 |
1821587858 | Michael Paul Martin | Physical Therapy Assistant | 501 N Lake St, Peshtigo, WI 54157-1013 | 2018-05-04 |
Find all providers in zip 54157 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588980817 | Annette Teresa Sainsbury | Registered Nurse | N3267 River Bend Rd, Peshtigo, WI 54157-9582 | 2010-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
Find all providers with the same taxonomy |
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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.