Brenda Lee Maier, RN

Individual provider Active NPI Registered Nurse · Ladysmith, WI

NPI 1811945256 · NPPES record last updated Jun 24, 2013

Key facts

NPI
1811945256
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
155270-30 (WI)
Practice address
N8427 Godfrey Rd
Ladysmith, WI 54848-8715
Phone
(715) 943-2825
NPI assigned
May 5, 2006
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

LicenseStateTypeSpecialty
155270-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 155270-30 WI Yes

Addresses

Primary practice location

N8427 Godfrey Rd
Ladysmith, WI 54848-8715

Mailing address

N8427 Godfrey Rd
Ladysmith, WI 54848-8715
Phone (715) 943-2825

Other identifiers

IdentifierTypeStateIssuer
38343100MedicaidWI

Other providers in Ladysmith, WI

All providers in Ladysmith, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.