Risa Briones

Individual provider Active NPI Home Health Registered Nurse · Menasha, WI

NPI 1124609912 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1124609912
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
232643 (WI)
Practice address
608 Keyes St
Menasha, WI 54952-3410
Phone
(920) 205-6909
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
232643WIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 232643 WI Yes

Addresses

Primary practice location

608 Keyes St
Menasha, WI 54952-3410

Mailing address

608 Keyes St
Menasha, WI 54952-3410

Other providers in Menasha, WI

All providers in Menasha, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.