PAUL F TREDER


Address: 101 Main St., Neenah, WI 54956
Phone: 9207275810

PAUL F TREDER (NPI# 1467445502) 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) 1467445502
Entity Type Individual
Full Name PAUL F TREDER
Credential APNP
Practice Address 101 Main St.
Neenah
WI 54956
Mailing Address 101 Main St
Neenah
WI 54956-2570
Practice Telephone 9207275810
Mailing Telephone 9207275810
Enumeration Date 2005-08-24
Last Update Date 2012-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95350-030 WI Nursing Service Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
587-033 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 43986300 05

Office Location

Street Address 101 MAIN ST.
City NEENAH
State WI
Zip Code 54956

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NPI Name Taxonomy Address Enumeration
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1629448550 Melissa Christine Hewitt Physical Therapy Assistant 1119 Higgins Ave, Neenah, WI 54956 2015-10-05
1437581923 Ross Phan Pharmacist 1432 Seymour Crt, Neenah, WI 54956 2013-08-06
1518201318 Meridith Nealy Starling Social Worker 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 2012-11-16
1639464886 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 901 S. Green Bay Rd, Neenah, WI 54956 2011-06-16
1669701439 Donna Jean Falk Licensed Practical Nurse 1037 B Hunt Ave, Neenah, WI 54956 2009-12-08
1285868257 Angela Marie Bilbrey Dietitian, Registered 307 S Commercial St Ste 101, Neenah, WI 54956 2009-05-06
1003083114 A B See Vision Therapy Centers Sc Optometrist 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 2008-05-08
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508369059 Rebecca Lynn Ott Nurse Practitioner 101 Main St, Neenah, WI 54956-2570 2018-03-12

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1861953960 Youa Thao Nurse Practitioner 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 2019-03-29
1053886465 Elizabeth A Jarecki Nurse Practitioner 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 2018-10-11
1669862868 Jami Marie Lyons Nurse Practitioner 234 Cashman Dr, Chippewa Falls, WI 54729-3543 2015-01-27
1619374816 Melissa Kaye Miller Nurse Practitioner 710 W Starin Rd, Whitewater, WI 53190-1121 2014-12-03
1275703233 Mary Ellen Devine Touhey Nurse Practitioner N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 2008-03-06
1366636797 Karen R. Sinnett Nurse Practitioner 125 W Nebraska St, Muscoda, WI 53573 2007-08-29
1508851239 Rita Marie Thomas Nurse Practitioner 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 2005-09-19
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City NEENAH
Zip Code 54956

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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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