Connie Mary Walbrun, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

10 Tri Park Way
Appleton, WI 54914-1658

Phone

(920) 831-7950

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477574283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S POPLAR LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154541",
            "telephone_number": "920-734-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRI PARK WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141658",
            "telephone_number": "920-831-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBRUN",
        "first_name": "CONNIE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Wagner, D.C., B.S.
• Wal-Mart Stores Easst, LP (Vision Center 30-2958)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1982)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2958)
• Wal-Mart Stores East, LP (Vision Center 30-1982)
• Susan Kay Walbrun, PT
• Brian James Walcheck
• Kay Marie Walcheck
• Caryn Walczak, PHARMD
• Carese Walczyk, RDN, CD

• Registered Nurse in Appleton, WI
• Providers in Appleton, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.