Kristi Lang
Individual provider Active NPI Registered Nurse · Big Bend, WI
NPI 1083962906 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1083962906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 152620-30 (WI)
- Practice address
- W228S9140 Putnam St
Big Bend, WI 53103-9414 - Phone
- (262) 662-2695
- NPI assigned
- Aug 27, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152620-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 152620-30 | WI | Yes |
Addresses
Primary practice location
W228S9140 Putnam St
Big Bend, WI 53103-9414
Mailing address
W228S9140 Putnam St
Big Bend, WI 53103-9414
Other providers in Big Bend, WI
- Carol Lynn Herzberg
- Integrated Health Care Clinic, LLC
- Jerome Drugs Inc
- Alexandria Irene Jones
- Mac Kozaczuk
- Anne Marie Lenichek
- Susan V Lindsay
- Tracy Lynn Mingo
- Gina Marie Mullooly
- Stephanie Lauren Nowakowski
All providers in Big Bend, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.