Patricia Delwiche, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

320 Issued in WI

Practice address

32 Hughes St
Clintonville, WI 54929-1534

Phone

(715) 823-5161

NPI assigned

Jun 23, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Associates of Appleton, S.C.

  • Diagnostic Radiology Physician
  • Appleton, WI
  • NPI 1841229093

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669408605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8003",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128003",
            "telephone_number": "920-996-3298",
            "fax_number": "920-738-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HUGHES ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291534",
            "telephone_number": "715-823-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELWICHE",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43841800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cloverleaf Healthcare LLC (The Pines Post Acute and Memory Care)
• John W. Connelly, D.D.S
• Daryl Daane, RPH
• Lauren E Dailey, PA
• Joanna L Davies, RN
• John Byron Dewolf III, DMD
• Cynthia Egan, MD
• Kim Marie Erdmann, MD
• Erickson Home Medical Equipment LLC
• Erickson Pharmacy LLC

• Nurse Practitioner in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Nurse Practitioner 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.