Healthcare Provider Details

I. General information

NPI: 1669302535
Provider Name (Legal Business Name): HEATHER GUENSBURG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W UPHAM ST
MARSHFIELD WI
54449-1326
US

IV. Provider business mailing address

425 W UPHAM ST
MARSHFIELD WI
54449-1326
US

V. Phone/Fax

Practice location:
  • Phone: 715-384-4747
  • Fax: 715-384-2727
Mailing address:
  • Phone: 715-384-4747
  • Fax: 715-384-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number189717-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: