Paula G Ott, RN, RCS
Individual provider Active NPI Home Health Registered Nurse · Greenleaf, WI
NPI 1962622563 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962622563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- Practice address
- 7387 County Rd W
Greenleaf, WI 54126-9483 - Phone
- (920) 864-2348
- Fax
- (920) 864-2348
- NPI assigned
- Apr 26, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102874-030 | WI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | WI | Yes |
Addresses
Primary practice location
7387 County Rd W
Greenleaf, WI 54126-9483
Mailing address
7387 County Rd W
Greenleaf, WI 54126-9483
Phone (920) 864-2348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38282200 | Medicaid | WI |
Other providers in Greenleaf, WI
All providers in Greenleaf, WI · Home Health 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 Jul 9, 2007. 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.