Courtney Rae Fabick
Individual provider Active NPI Home Health Registered Nurse · Cottage Grove, WI
NPI 1356993489 · NPPES record last updated Jul 9, 2019
Key facts
- NPI
- 1356993489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 248831 (WI)
- Practice address
- 5003 Creek Haven Rd
Cottage Grove, WI 53527-9750 - Phone
- (608) 322-6320
- NPI assigned
- Jul 9, 2019
- 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 |
|---|---|---|---|
| 248831 | WI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 248831 | WI | Yes |
Addresses
Primary practice location
5003 Creek Haven Rd
Cottage Grove, WI 53527-9750
Mailing address
5003 Creek Haven Rd
Cottage Grove, WI 53527-9750
Other providers in Cottage Grove, WI
- Julie Curran
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- DP Nelson Investments LLC
- Excellence in Dentistry, LLC
- Louis A Falligant
- Tyler Fanta
- Ashley Jane Fielek
- Jeffrey A Fischer
- Javier Eugenio Font
All providers in Cottage Grove, WI · Home Health Registered 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 Jul 9, 2019. 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.