Decorah, Reva

Decorah, Reva is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Decorah, Reva can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1111091-30 Wisconsin

Profile Details

NPI number 1487479788
LBN Legal business name Decorah, Reva
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2024
Last updated Nov 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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