Jane Mary Daul, RNC
Individual provider Active NPI Registered Nurse · Oneida, WI
NPI 1104249804 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1104249804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 79725 (WI)
- Practice address
- 3889 Hidden TRL
Oneida, WI 54155-9077 - Phone
- (920) 737-3089
- NPI assigned
- Jan 31, 2014
- 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 |
|---|---|---|---|
| 79725 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 79725 | WI | Yes |
Addresses
Primary practice location
3889 Hidden TRL
Oneida, WI 54155-9077
Mailing address
3889 Hidden TRL
Oneida, WI 54155-9077
Phone (920) 737-3089
Other providers in Oneida, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. 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.