Healthcare Provider Details

I. General information

NPI: 1720999352
Provider Name (Legal Business Name): EMMALEE KRUEGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMALEE BARTLETT

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 ALDERSON ST
WESTON WI
54476-3901
US

IV. Provider business mailing address

6100 ALDERSON ST
WESTON WI
54476-3901
US

V. Phone/Fax

Practice location:
  • Phone: 715-241-9700
  • Fax: 715-241-9697
Mailing address:
  • Phone: 715-241-9700
  • Fax: 715-241-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number201755
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: