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NPI Code Detail

MEDICARE: PATRICIA EID NP

MEDICARE: PATRICIA EID NP
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 PractitionerR0633422MN

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 : 1932213279
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA EID NP
Provider Business Mailing Address
First Line : 257 WEST ST. GEORGE AVENUE
Second Line :
City : GRANTSBURG
State : WI
Zip : 54840
Country : US
Telephone Number : 715-463-5353
Fax Number :
Provider Business Practice Location Address
First Line : 257 W SAINT GEORGE AVE
Second Line :
City : GRANTSBURG
State : WI
Zip : 54840-7827
Country : US
Telephone Number : 715-463-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/21/2022

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Directions to “ PATRICIA EID NP” Practice Location

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