Moellers, Audrey

Moellers, Audrey is an sole proprietor health care provider with primary practice located at 4229 E Barreltown Rd , Mineral Point WI 53565-9252. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moellers, Audrey can be contacted via phone (608) 987-2893.

Contact Information

Primary practice address
4229 E Barreltown Rd Mineral Point WI 53565-9252
Phone: (608) 987-2893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 28863031 Wisconsin

Profile Details

NPI number 1407946569
LBN Legal business name Moellers, Audrey
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407946569 NPPES
Wisconsin MEDICAID 38247100

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