Uro GYN Health Services, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

116299 Issued in WI

Legal business name

URO GYN HEALTH SERVICES, LLC

Practice address

6605 N Abey CT
Evansville, WI 53536-9751

Phone

(608) 931-1315

Fax

(608) 882-1083

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Miss Kristina Krueger, RN-C, MS, NP

Title

Owner

Phone

(608) 931-1315

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1164580932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 N ABEY CT",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535369751",
            "telephone_number": "608-931-1315",
            "fax_number": "608-882-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 N ABEY CT",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535369751",
            "telephone_number": "608-931-1315",
            "fax_number": "608-882-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URO GYN HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-931-1315",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN-C, MS, NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "116299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41253700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9218",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Evansville, WI
• Providers in Evansville, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.