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NPI Code Detail

MEDICARE: VISITING NURSE ASSOCIATION OF WISCONSIN, INC.

MEDICARE: VISITING NURSE ASSOCIATION OF WISCONSIN, INC.
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
1251G00000XCommunity Based Hospice Care AgencyWI

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 : 1417110214
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING NURSE ASSOCIATION OF WISCONSIN, INC.
Provider Business Mailing Address
First Line : 11333 W NATIONAL AVE
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-3111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 931 DISCOVERY RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8002
Country : US
Telephone Number : 920-288-5100
Fax Number : 920-288-2152
Authorized Official
Title or Position : ASSISTANT TREASURER
Name : KARA RICHARDSON
Credential :
Telephone Number : 704-631-0450
Provider Enumeration Date : 07/02/2008
Last Update Date : 10/03/2025

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