Isabelle Holdridge
Individual provider Active NPI Registered Nurse · Little Chute, WI
NPI 1770878233 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1770878233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 176636-030 (WI)
- Practice address
- 1030F W Elm Dr Apt 16
Little Chute, WI 54140-1099 - Phone
- (920) 202-4606
- NPI assigned
- Jun 13, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176636-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 176636-030 | WI | Yes |
Addresses
Primary practice location
1030F W Elm Dr Apt 16
Little Chute, WI 54140-1099
Mailing address
1030F W Elm Dr Apt 16
Little Chute, WI 54140-1099
Phone (920) 202-4606
Other providers in Little Chute, WI
- Christina A Heindl
- Betsy Hermus
- Emily E Hietpas
- Kelsey Hietpas
- Tyler J Hietpas
- Adam Matthias Hunt
- Harriette Xaveria Janssen
- Kristin Ann Jefcik
- Kimberly Kamps
- Satia Kavanaugh Vanderloop
All providers in Little Chute, 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 13, 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.