Paul Bryan Dahms, RN
Individual provider Active NPI Registered Nurse · Wittenberg, WI
NPI 1407098080 · NPPES record last updated Mar 30, 2009
Key facts
- NPI
- 1407098080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 166624 (WI)
- Practice address
- 401 W Walker St
Wittenberg, WI 54499-9273 - Phone
- (715) 253-3924
- NPI assigned
- Mar 30, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| 166624 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 166624 | WI | Yes |
Addresses
Primary practice location
401 W Walker St
Wittenberg, WI 54499-9273
Mailing address
401 W Walker St
Wittenberg, WI 54499-9273
Phone (715) 253-3924
Other providers in Wittenberg, WI
- Sarah Bradley
- Margaret Patrice Bresnahan I
- Emily M Calonder
- Mallory Charging
- Kristin Craker
- Emily Jeanne Desilet
- Terri Graham
- Erin Grosskopf
- Gwidt Pharmacy Inc
- Gwidt Pharmacy Inc
All providers in Wittenberg, 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 Mar 30, 2009. 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.