Active NPI
Minfang Utterback, RN
- Registered Nurse
- Wausau, WI
National Provider Identifier
1740157239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1100517-30
- Practice address
- 174265 Snowshoe Rd
Wausau, WI 54403-5711 - Phone
- (715) 618-6296
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1100517-30 | WI | Primary |
Addresses
Primary practice location
174265 Snowshoe Rd
Wausau, WI 54403-5711
Mailing address
174265 Snowshoe Rd
Wausau, WI 54403-5711
Phone (715) 618-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100517-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1740157239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174265 SNOWSHOE RD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544035711",
"telephone_number": "715-618-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174265 SNOWSHOE RD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544035711",
"telephone_number": "715-618-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTTERBACK",
"first_name": "MINFANG",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1100517-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
- University of Wisconsin Medical Foundation
- University of Wisconsin Medical Foundation, Inc
- University of Wisconsin System Non Payroll
- Elizabeth Jane Unrath, MA
- Urology Specialists of Wisconsin SC
- Ann Marie Valentine, O.T.R.
- Alysia Van Boxtel
- Shelly Ann Van de Weerd, RN
- Bethany Van Dong, MS CCC-SLP
- Laura M. Van Ryn, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.