Laura Dickinson, RN

Individual provider Active NPI Registered Nurse · Schofield, WI

NPI 1871966002 · NPPES record last updated Nov 10, 2015

Key facts

NPI
1871966002
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
170777 (WI)
Practice address
6306 Setter Rd
Schofield, WI 54476-4044
Phone
(715) 573-2963
NPI assigned
Nov 10, 2015
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
170777WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 170777 WI Yes

Addresses

Primary practice location

6306 Setter Rd
Schofield, WI 54476-4044

Mailing address

6306 Setter Rd
Schofield, WI 54476-4044
Phone (715) 573-2963

Other providers in Schofield, WI

All providers in Schofield, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.