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General NPI Number Information
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NPI Number | 1093518664
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Entity Type | Individual
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Provider Name | COURTNEY MARIE ROHS APNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2301 N LAKE DR
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City | MILWAUKEE
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State | WI
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Zip | 53211-4508
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Country | US
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Telephone | 414-585-1200
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Fax |
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Provider Business Mailing Address
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Address Line | N88W18489 DUKE ST
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-1936
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Country | US
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Telephone | 262-271-4632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 187079-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 16728-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16728-33
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License Number State | WI
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