Angela Nicole Ohnesorge, RN
Individual provider Active NPI Registered Nurse · Jackson, WI
NPI 1104096064 · NPPES record last updated Mar 7, 2008
Key facts
- NPI
- 1104096064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- Practice address
- N167W21209 Scot CT
Jackson, WI 53037-9316 - Phone
- (262) 677-2453
- NPI assigned
- Mar 7, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 123375-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | Yes |
Addresses
Primary practice location
N167W21209 Scot CT
Jackson, WI 53037-9316
Mailing address
N167W21209 Scot CT
Jackson, WI 53037-9316
Phone (262) 677-2453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39931900 | Other | PROVIDER ID |
Other providers in Jackson, WI
- Norline Healthcare, Inc
- Eric Nysse
- John O'Leary
- Dawn O'Shea-Farley
- Jon Charles Oconnell
- Sonali Patel
- Pharmaceutical Services Inc
- Pharmscript of Wi LLC
- Pharmscript of Wi LLC
- Samantha Radke
All providers in Jackson, 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 Mar 7, 2008. 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.