Deborah Rhea Malinowski, RN

Individual provider Active NPI Registered Nurse · Sherwood, WI

NPI 1467700237 · NPPES record last updated Aug 27, 2012

Key facts

NPI
1467700237
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
11674230 (WI)
Practice address
N7865 Edgewater CT
Sherwood, WI 54169-9662
Phone
(920) 205-1868
NPI assigned
Aug 27, 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

LicenseStateTypeSpecialty
11674230WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 11674230 WI Yes

Addresses

Primary practice location

N7865 Edgewater CT
Sherwood, WI 54169-9662

Mailing address

N7865 Edgewater CT
Sherwood, WI 54169-9662
Phone (920) 205-1868

Other providers in Sherwood, WI

All providers in Sherwood, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.