Healthcare Provider Details

I. General information

NPI: 1497807390
Provider Name (Legal Business Name): PAULA A BERNINI FEIGAL CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 13TH ST SE
MENOMONIE WI
54751-2032
US

IV. Provider business mailing address

321 13TH ST SE
MENOMONIE WI
54751-2032
US

V. Phone/Fax

Practice location:
  • Phone: 715-231-3100
  • Fax: 715-231-3101
Mailing address:
  • Phone: 715-231-3100
  • Fax: 715-231-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1013
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: