Lisa Hollett, RN
Individual provider Active NPI Nursing Care Agency · Baraboo, WI
NPI 1972960656 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1972960656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- 139554-30 (WI)
- Practice address
- S2124 Pine View CT
Baraboo, WI 53913-8700 - Phone
- (608) 432-1102
- NPI assigned
- Jan 26, 2016
- 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 |
|---|---|---|---|
| 139554-30 | WI | MD | Case Management Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 139554-30 | WI | |
| Nursing Care Agency | 251J00000X | 139554-30 | WI | Yes |
Addresses
Primary practice location
S2124 Pine View CT
Baraboo, WI 53913-8700
Mailing address
S2124 Pine View CT
Baraboo, WI 53913-8700
Phone (608) 432-1102
Other providers in Baraboo, WI
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- Ho Chunk Nation
- Ho-Chunk Nation
- Suzanne M Hockley Murry
- Jamie Hohl
- Melinda Holt
- Home Care United, Inc.
- Home Health United, Inc
- Hope Connect LLC
- Rebecca L Hoppe
All providers in Baraboo, WI · Nursing Care Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. 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.