Christine Susanne Gressick, R.N.

Individual provider Active NPI Home Health Registered Nurse · Delavan, WI

NPI 1003971151 · NPPES record last updated Feb 18, 2010

Key facts

NPI
1003971151
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
127768-030 (WI)
Practice address
N5089 Dam Rd
Delavan, WI 53115-2925
Phone
(262) 203-0070
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
127768-030WIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 127768-030 WI
Home Health Registered Nurse 163WH0200X 127768-030 WI Yes

Addresses

Primary practice location

N5089 Dam Rd
Delavan, WI 53115-2925

Mailing address

N5089 Dam Rd
Delavan, WI 53115-2925
Phone (262) 203-0070

Other identifiers

IdentifierTypeStateIssuer
39982000MedicaidWI

Other providers in Delavan, WI

All providers in Delavan, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.