Healthcare Provider Details

I. General information

NPI: 1962532358
Provider Name (Legal Business Name): ROREY D. PRITCHARD RN MSN CNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14790 119TH ST N
STILLWATER MN
55082-8906
US

IV. Provider business mailing address

2812 MARILYN DR
EAU CLAIRE WI
54701-6718
US

V. Phone/Fax

Practice location:
  • Phone: 651-439-8484
  • Fax: 651-283-5183
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: