MARISSA MARIE DRAXLER


Address: M406 Birch St, Marshfield, WI 54449-9241
Phone: 7153058827

MARISSA MARIE DRAXLER (NPI# 1417426677) 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) 1417426677
Entity Type Individual
Full Name MARISSA MARIE DRAXLER
Practice Address M406 Birch St
Marshfield
WI 54449-9241
Practice Telephone 7153058827
Mailing Telephone 7153058827
Enumeration Date 2018-11-17
Last Update Date 2018-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 222368 WI Nursing Service Providers
Y 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
222368 WI Nursing Service Providers

Office Location

Street Address M406 BIRCH ST
City MARSHFIELD
State WI
Zip Code 54449-9241

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Taxonomy Information

Taxonomy Code 163WN0002X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Neonatal Intensive Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1437706777 Amanda Haberli Registered Nurse N6004 Rendezvous Rd, Luxemburg, WI 54217-8370 2019-08-21
1871062133 Jennifer Ann Schlimgen Registered Nurse 513 N 50th St, Milwaukee, WI 53208-3637 2018-11-16
1306312475 Erika M Nowakowski Registered Nurse 10909 W Mequanigo Dr, West Allis, WI 53227-3046 2018-10-16
1154791408 Leeann Mansker Registered Nurse 6581 N Bethmaur Ln, Glendale, WI 53209-3363 2015-09-29
1659788206 Michelle Eversdyk Registered Nurse 1934 Tumbleweed Cir, West Bend, WI 53095-8561 2014-07-15
1396176715 Susan Darlene Rymer Registered Nurse 1521 Redstone Trl, Green Bay, WI 54313-3954 2013-12-11
1942561972 Kayla Marie Labunski Registered Nurse 1326 Vilas Ave, Madison, WI 53715-1552 2012-06-06
1144513110 Trisha Jo Pieper Registered Nurse W2789 Cty Rd F, Campbellsport, WI 53010 2011-05-24
1699900902 Lynne Annette Schuette Registered Nurse 2044 Wintercress Dr, Green Bay, WI 54313-4334 2009-05-17
1942474259 Susan Kaye Vollmer Registered Nurse 1259 Prairie Falcon Trl, Green Bay, WI 54313-7177 2008-04-17
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Competitor

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City MARSHFIELD
Zip Code 54449

Improve Information

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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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