MRS. HALLIE ELIZABETH WIERTZEMA


Address: 460 N Jefferson St, Richland Center, WI 53581-1833
Phone: 6086492705

MRS. HALLIE ELIZABETH WIERTZEMA (NPI# 1710027313) 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) 1710027313
Entity Type Individual
Full Name MRS. HALLIE ELIZABETH WIERTZEMA
Credential R.N.
Practice Address 460 N Jefferson St
Richland Center
WI 53581-1833
Practice Telephone 6086492705
Mailing Telephone 6086492705
Enumeration Date 2007-02-06
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
WI Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 38267700 05

Office Location

Street Address 460 N JEFFERSON ST
City RICHLAND CENTER
State WI
Zip Code 53581-1833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730687542 Danielle Lea Spencer Occupational Therapy Assistant 25881 Severson Street, Richland Center, WI 53581 2018-01-26
1396997953 Bonnie Lou Peer Licensed Practical Nurse 24096 County Hwy 2, Richland Center, WI 53581 2008-10-15
1225286081 Lori Knapp Richland, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1140 Sextonville Road #5, Richland Center, WI 53581 2008-09-05
1881868768 Patrick M Murphy Chiropractor 875 N Orange St, Richland Center, WI 53581 2008-04-22
1588838502 Michael Joseph Pelsoh Pharmacist Richland Hospital 333 E 2nd St, Richland Center, WI 53581 2008-04-22
1902087653 Patricia Ann Behn Occupational Therapist 222 Seminary St, Richland Center, WI 53581 2007-11-23
1386833390 Kyle J Berra Specialist/Technologist 333 E. Second St, Richland Center, WI 53581 2007-10-16
1487871653 Daniel George Basarich Dentist 175 E Mill Street, Richland Center, WI 53581 2007-04-19
1851517312 Bruce Todd Vermilyea Dentist 175 E Mill Str, Richland Center, WI 53581 2007-04-17
1144394735 Debra Lynn Goplen Licensed Practical Nurse 24096 Hwy Z, Richland Center, WI 53581 2006-11-17
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1740803303 Todd Gray Registered Nurse 5400 W National Ave, Milwaukee, WI 53214-3461 2020-05-18
1407366701 David Lacombe Registered Nurse 321 Juniper Ct, Delafield, WI 53018-1100 2017-10-02
1831548031 Sarah Mccorkle Registered Nurse 1020 Vine Ave, Apt 106, Oshkosh, WI 54901-3537 2016-06-08
1467865535 Ashley Lauren Busalacchi Registered Nurse 10303 W Wisconsin Ave, Wauwatosa, WI 53226-3542 2014-06-06
1235487612 Tamela Sue Hazel Registered Nurse 2403 E Hill Dr, Fitchburg, WI 53711-5618 2012-08-16
1336421221 Haley Meier Registered Nurse 2712 Northview Rd, #121, Waukesha, WI 53188-2009 2011-09-15
1316229503 Lorena Reyes Registered Nurse 8710 S Wood Creek Dr Apt 6, Oak Creek, WI 53154-7500 2011-09-13
1689982043 Benjamin Thiel Registered Nurse W147s6942 Durham Pl, Muskego, WI 53150-3138 2010-09-20
1689726945 Scott Alfred Becker Registered Nurse 4828 W Silver Spring Dr, Milwaukee, WI 53218-3440 2007-01-17
1518997428 Michael Matthew Monzel Registered Nurse 1294 140th St, New Richmond, WI 54017-6621 2006-07-04
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Competitor

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City RICHLAND CENTER
Zip Code 53581

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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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