Barbara Everson, RN
Individual provider Active NPI Registered Nurse · Grantsburg, WI
NPI 1760896732 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1760896732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 199917-30 (WI)
- Practice address
- 134 W Madison Ave
Grantsburg, WI 54840-7022 - Phone
- (715) 463-5004
- Fax
- (715) 463-5003
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 199917-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lean on Me Home Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 199917-30 | WI | Yes |
Addresses
Primary practice location
134 W Madison Ave
Grantsburg, WI 54840-7022
Mailing address
134 W Madison Ave
Grantsburg, WI 54840-7022
Phone (715) 463-5004
Other providers in Grantsburg, WI
- Trista Deloris Clemmer
- Abigail Dewitt
- Melinda Alice Deye
- Daina Marie Duerr
- Patricia Eid
- Jenna Sue Fickbohm
- Robyn Marie Formanek
- Jordan Fraser
- Kathleen M French
- Gary L Kaefer DDS SC
All providers in Grantsburg, 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 Jun 17, 2014. 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.