Healthcare Provider Details

I. General information

NPI: 1881002962
Provider Name (Legal Business Name): BARBARA A DROLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA A GILBERTSON RN, BA

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 08/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 E NORTH ST
FRIENDSHIP WI
53934-9443
US

IV. Provider business mailing address

108 E NORTH ST
FRIENDSHIP WI
53934-9443
US

V. Phone/Fax

Practice location:
  • Phone: 608-339-4505
  • Fax: 608-339-4593
Mailing address:
  • Phone: 608-339-4505
  • Fax: 608-339-4593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1253
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: