Jamie Lee Pronschinske, RN

Individual provider Active NPI Registered Nurse · Cochrane, WI

NPI 1255864633 · NPPES record last updated Apr 4, 2017

Key facts

NPI
1255864633
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
178511-030 (WI)
Practice address
501 S Main St
Cochrane, WI 54622-9501
Phone
(507) 990-0960
NPI assigned
Apr 4, 2017
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
178511-030WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 178511-030 WI Yes

Addresses

Primary practice location

501 S Main St
Cochrane, WI 54622-9501

Mailing address

501 S Main St
Cochrane, WI 54622-9501
Phone (507) 990-0960

Other names

  • Jamie Lee Mau Former name

Other providers in Cochrane, WI

All providers in Cochrane, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.