Healthcare Provider Details

I. General information

NPI: 1407768583
Provider Name (Legal Business Name): CAMILLE CARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 CARMICHAEL RD
HUDSON WI
54016-8322
US

IV. Provider business mailing address

1350 CARMICHAEL RD
HUDSON WI
54016-8322
US

V. Phone/Fax

Practice location:
  • Phone: 715-377-3703
  • Fax:
Mailing address:
  • Phone: 715-377-3703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number229525-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: