Nutrex LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NUTREX LLC

Practice address

6024 Doyle St
Greendale, WI 53129-2242

Phone

(414) 312-2420

Fax

(414) 377-9359

NPI assigned

Sep 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth Haise

Title

Member

Phone

(414) 312-2420

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1144554338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 DOYLE ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292242",
            "telephone_number": "414-312-2420",
            "fax_number": "414-377-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 DOYLE ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292242",
            "telephone_number": "414-312-2420",
            "fax_number": "414-377-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTREX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "HAISE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-312-2420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Mundigler, OTR
• Jennifer Lynn Nencka, DPT
• Kimberly L Neville, MS, CCC-SLP
• Mary Newbauer
• None
• Paige Elizabeth Oliver
• Chinwe D Opara, NP
• Linda Akosua Opokua
• Options Counseling Services, LLC
• Paramount Family Clinic, LLC

• Durable Medical Equipment & Medical Supplies in Greendale, WI
• Providers in Greendale, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.