Active NPI
Michele L Dunow
- Registered Nurse
- Eagle River, WI
National Provider Identifier
1104154186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 16383430
- Practice address
- 131 Saltzberry Rd
Eagle River, WI 54521-9126 - Phone
- (715) 617-2284
- NPI assigned
- Dec 2, 2009
- 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 |
|---|---|---|---|
| 16383430 | WI | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 16383430 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
131 Saltzberry Rd
Eagle River, WI 54521-9126
Mailing address
131 Saltzberry Rd
Eagle River, WI 54521-9126
Phone (715) 617-2284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2009.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1104154186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SALTZBERRY RD",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545219126",
"telephone_number": "715-617-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SALTZBERRY RD",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545219126",
"telephone_number": "715-617-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNOW",
"first_name": "MICHELE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "16383430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.