Judi E Tucker, RN
Individual provider Active NPI Registered Nurse · Marshall, WI
NPI 1376890004 · NPPES record last updated Aug 13, 2012
Key facts
- NPI
- 1376890004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 190517-30 (WI)
- Practice address
- 320 E Medina Rd
Marshall, WI 53559-9773 - Phone
- (608) 438-4603
- NPI assigned
- Aug 13, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 190517-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 190517-30 | WI | Yes |
Addresses
Primary practice location
320 E Medina Rd
Marshall, WI 53559-9773
Mailing address
320 E Medina Rd
Marshall, WI 53559-9773
Phone (608) 438-4603
Other providers in Marshall, WI
- Sheri Rockwell
- Gnouma Sidibe
- Trina Simonson
- Renee Marie Swanson
- Trina K Thibeault
- Jamae Sandra Wierzba
All providers in Marshall, WI · 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 Aug 13, 2012. 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.