Healthcare Provider Details

I. General information

NPI: 1215853601
Provider Name (Legal Business Name): PAULA PINTAR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7348 BOTTING RD
CALEDONIA WI
53402-9742
US

IV. Provider business mailing address

7348 BOTTING RD
CALEDONIA WI
53402-9742
US

V. Phone/Fax

Practice location:
  • Phone: 608-471-0499
  • Fax:
Mailing address:
  • Phone: 608-471-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2013001483
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: