Andrea Helene Boll, RN
Individual provider Active NPI Registered Nurse · Elm Grove, WI
NPI 1497050546 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1497050546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 153108-30 (WI)
- Practice address
- 12700 Green Meadow PL
Elm Grove, WI 53122-1937 - Phone
- (414) 640-2321
- NPI assigned
- Jan 21, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 153108-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 153108-30 | WI | Yes |
Addresses
Primary practice location
12700 Green Meadow PL
Elm Grove, WI 53122-1937
Mailing address
12700 Green Meadow PL
Elm Grove, WI 53122-1937
Phone (414) 640-2321
Other names
- Ms. Andrea Helene Janicki
Other providers in Elm Grove, WI
- Helen Berger
- Laura Beschta
- Megan Bielinski
- Laura Beth Biwer
- Shawn Michael Bohler
- Michael A Bonis
- Lynette Boshoff
- Cory Robert Bowers
- Elissa Box
- Kimberly Brandhagen
All providers in Elm Grove, 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 Jan 21, 2011. 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.