Healthcare Provider Details

I. General information

NPI: 1518319078
Provider Name (Legal Business Name): CHRISTINE M DISCH APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 HELEN ST
SAUK CITY WI
53583-1101
US

IV. Provider business mailing address

PO BOX 70
PRAIRIE DU SAC WI
53578-0070
US

V. Phone/Fax

Practice location:
  • Phone: 608-643-3351
  • Fax:
Mailing address:
  • Phone: 608-643-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6861-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: