Individual provider · Type 1 NPI
Owen Richard Elizondo, RN, TCRN
Emergency Registered Nurse · Reedsburg, WI
NPI number
1649102161
Active
Practice location
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Mailing address
208 Locust St
Baraboo, WI 53913-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 1103147-30 (WI) |
Emergency Registered Nurse: Definition to come...
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About NPI 1649102161
Owen Richard Elizondo, RN, TCRN's National Provider Identifier is 1649102161, issued on Jun 1, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Reedsburg, WI. The record was last updated on Jun 1, 2026.