Organization · Type 2 NPI

SSM Health Care of Wisconsin Inc

Nurse Practitioner · Janesville, WI

NPI number 1275947137 Active

Practice location

3400 E Racine St
Janesville, WI 53546-2344

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

40 other providers at this address

NPI record

NPI: 1275947137
Entity type: Organization (Type 2)
Issued: Jun 18, 2014
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of SSM Health ST Marys Hospital - Janesville

Other names

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Medical Providers · other name
Medical Providers · other name

Authorized official

Joseph Minerath
System Dir of Gov Reimbursement
(608) 258-6891

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275947137

SSM Health Care of Wisconsin Inc's National Provider Identifier is 1275947137, issued on Jun 18, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Janesville, WI. The record was last updated on Nov 27, 2023.