Healthcare Provider Details

I. General information

NPI: 1801934880
Provider Name (Legal Business Name): PATRICIA ANN VOERMANS RN, MS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3099 E WASHINGTON AVE
MADISON WI
53704-4338
US

IV. Provider business mailing address

610 W LAKESIDE ST
MADISON WI
53715-1730
US

V. Phone/Fax

Practice location:
  • Phone: 608-240-5128
  • Fax: 608-240-3311
Mailing address:
  • Phone: 608-255-8415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number40663-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: