Raquel Arenas-Grube
Individual provider Active NPI Licensed Practical Nurse · Appleton, WI
NPI 1124422092 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1124422092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 316103 (WI)
- Practice address
- 414 N Division St
Appleton, WI 54911-4611 - Phone
- (920) 445-8811
- NPI assigned
- Oct 21, 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 |
|---|---|---|---|
| 316103 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 316103 | WI | Yes |
Addresses
Primary practice location
414 N Division St
Appleton, WI 54911-4611
Mailing address
414 N Division St
Appleton, WI 54911-4611
Phone (920) 445-8811
Other providers in Appleton, WI
- Apricity Outpatient & Peer Support Services
- Andrea Lynn Von Aragon
- Maribeth Sale Araneta
- Paula Renee Arbaugh
- Jordyn Archambeau
- Christine Arendt
- Ann Arft
- Maria T Aristigueta
- Michael D Arizola III
- Armstrong Chiropractic Clinic
All providers in Appleton, WI · Licensed Practical 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 Oct 21, 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.