Healthcare Provider Details

I. General information

NPI: 1720595366
Provider Name (Legal Business Name): 3D HEALTHCARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171033 MOLE BROOK RD
RINGLE WI
54471-6215
US

IV. Provider business mailing address

171033 MOLE BROOK RD
RINGLE WI
54471-6215
US

V. Phone/Fax

Practice location:
  • Phone: 715-439-3084
  • Fax:
Mailing address:
  • Phone: 715-439-3084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SALLY A CONWAY
Title or Position: CEO OPERATOR
Credential:
Phone: 715-439-3084