=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851204689
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICIA MCLAIN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1109 E NORTH ST
-----------------------------------------------------
City | ADAMS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53910-9314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-339-3921
-----------------------------------------------------
Fax | 608-869-0427
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1109 E NORTH ST
-----------------------------------------------------
City | ADAMS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53910-9314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-339-3921
-----------------------------------------------------
Fax | 608-869-0427
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | 14677630
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------