Eileen F Dalebroux
Individual provider Active NPI Diabetes Educator Registered Nurse · Madison, WI
NPI 1457501462 · NPPES record last updated Sep 26, 2008
Key facts
- NPI
- 1457501462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 79449-030 (WI)
- Practice address
- 600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001 - Phone
- (608) 662-0817
- NPI assigned
- Sep 26, 2008
- 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 |
|---|---|---|---|
| 79449-030 | WI | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 79449-030 | WI | Yes |
Addresses
Primary practice location
600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Mailing address
600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Phone (608) 662-0817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79449-030 | Other | WI | RN, DIABETES EDUCATOR |
Other providers in Madison, WI
- Kara Jo Daily
- Heather L Dakter
- Jessica W Dalby
- Barbara R Dale
- Crystal Lynn Dalebroux
- Marie A Daleo
- Amy E Daley
- Geoffrey Eugene Daley
- Roger Alan Daley Jr.
- Kathryn Dalke
All providers in Madison, WI · Diabetes Educator 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 Sep 26, 2008. 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.