Elizabeth Henderson Cernohous, NP
Individual provider Active NPI Nurse Practitioner · Ladysmith, WI
NPI 1467569715 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467569715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2717 (WI)
- Practice address
- 906 College Ave West
Ladysmith, WI 54848 - Phone
- (715) 532-2345
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2717 | WI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2717 | WI | Yes |
Addresses
Primary practice location
906 College Ave West
Ladysmith, WI 54848
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43854500 | Medicaid | WI |
Other providers in Ladysmith, WI
- Megan Barg
- David M. Bihrle
- Donald James Briggs
- Brita Lynn Bush
- Karen Lee Buth
- Community Support Center of Rusk County
- County of Rusk
- County of Rusk
- County of Rusk
- County of Rusk Dba Rusk County Memorial Hospital and Nursing Home
All providers in Ladysmith, WI · Nurse Practitioner 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 8, 2007. 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.