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NPI Code Detail

MEDICARE: MS. ANDREA MARIE FILTEAU R.N

MEDICARE: MS. ANDREA MARIE FILTEAU R.N
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
1163W00000XRegistered NurseWI

General Provider Information

NPI Number : 1225177082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANDREA MARIE FILTEAU R.N
Provider Business Mailing Address
First Line : 3902 MAPLE GROVE DR APT 13
Second Line :
City : MADISON
State : WI
Zip : 53719-1768
Country : US
Telephone Number : 218-349-4711
Fax Number :
Provider Business Practice Location Address
First Line : 3902 MAPLE GROVE DR APT 13
Second Line :
City : MADISON
State : WI
Zip : 53719-1768
Country : US
Telephone Number : 218-349-4711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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