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NPI Code Detail

MEDICARE: MRS. CHRISTINE ANN BATH RN

MEDICARE: MRS. CHRISTINE ANN BATH RN
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
1163WH0200XHome Health Registered Nurse141193-30WI

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 : 1548282031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE ANN BATH RN
Provider Business Mailing Address
First Line : 687 NORTH ST
Second Line :
City : WEST BEND
State : WI
Zip : 53090-2515
Country : US
Telephone Number : 262-338-4903
Fax Number :
Provider Business Practice Location Address
First Line : 687 NORTH ST
Second Line :
City : WEST BEND
State : WI
Zip : 53090-2515
Country : US
Telephone Number : 262-338-4903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/09/2007

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