MRS. TERESA Q WOLKOWSKI


Address: 626 14th St, Baraboo, WI 53913-1535
Phone: 6083569318

MRS. TERESA Q WOLKOWSKI (NPI# 1649228818) 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) 1649228818
Entity Type Individual
Full Name MRS. TERESA Q WOLKOWSKI
Credential NP
Practice Address 626 14th St
Baraboo
WI 53913-1535
Mailing Address E11843 Gall Rd
Baraboo
WI 53913-8906
Practice Telephone 6083569318
Practice Fax Number 6083569321
Mailing Telephone 6083564770
Enumeration Date 2006-05-04
Last Update Date 2009-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 93956-030 WI Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
1055-033 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 626 14TH ST
City BARABOO
State WI
Zip Code 53913-1535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629064126 Wayne A Johansen Physical Therapist 626 14th St, Baraboo, WI 53913-1535 2005-09-21
1871758300 Marian R Krocker Licensed Practical Nurse 626 14th St, Baraboo, WI 53913-1535 2008-07-24
1356564520 Wayne A Johansen Clinic/Center 626 14th St, Baraboo, WI 53913-1535 2007-04-10

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1508359928 Erick Lichte Krueger Counselor 840 Us-12 #1, Baraboo, WI 53913 2018-06-11
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1750828299 Nanette Marie Kloth Nurse Practitioner 18110 W Bluemond Rd, Brookfield, WI 53045 2017-01-23
1902341852 Rebecca Weld Hall Nurse Practitioner 3245 Milwaukee St, Madison, WI 53714-1829 2017-01-02
1629525613 Katherine Simons Melde Nurse Practitioner 2222 S Park St Ste 210, Madison, WI 53713 2016-09-07
1134574643 Victoria White Nurse Practitioner 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 2016-05-03
1326414442 Diane Marie Kelley Nurse Practitioner 300 Femrite Drive, Monona, WI 53716 2015-08-12
1841673829 M Christine Meulemans Nurse Practitioner 3391 Wilderness Trl, Suamico, WI 54313-8746 2015-07-08
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1588062947 Laura Swett Nurse Practitioner 733 Woodside Dr, Seymour, WI 54165-1661 2014-12-16
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Competitor

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City BARABOO
Zip Code 53913

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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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