Healthcare Provider Details

I. General information

NPI: 1407953524
Provider Name (Legal Business Name): MARGARET I ROCK R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 NEBRASKA ST
STURGEON BAY WI
54235-2249
US

IV. Provider business mailing address

421 NEBRASKA ST
STURGEON BAY WI
54235-2249
US

V. Phone/Fax

Practice location:
  • Phone: 920-746-2345
  • Fax: 920-746-2439
Mailing address:
  • Phone: 920-746-2345
  • Fax: 920-746-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: