Doctor Name: | MARIRUTH PHEE |
NPI Number: | 1013197979 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 3254-33 |
Business Practice Address: | 309 N Bartlett St Shawano, WI - 541662127 |
Business Phone Number: | 7155266464 |
Business Fax Number: | 7155269174 |
Mailing Address: | 309 N Bartlett St, SHAWANO |
State: | WI |
Postal Code: | 541662127 |
Phone Number: | 7155266464 |
Fax Number: | 7155269174 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3254-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |