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NPI Code Detail

MEDICARE: JOELLEN E FRAWLEY APNP

MEDICARE: JOELLEN E FRAWLEY APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2560WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184625816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLEN E FRAWLEY APNP
Provider Business Mailing Address
First Line : 80 1ST ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-1550
Country : US
Telephone Number : 608-643-3311
Fax Number : 608-643-8600
Provider Business Practice Location Address
First Line : 260 26TH ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-2203
Country : US
Telephone Number : 608-643-3311
Fax Number : 608-643-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 03/24/2021

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Directions to “ JOELLEN E FRAWLEY APNP” Practice Location

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