Doctor Name: | MRS. EMILY ROSE KOTLOSKI |
NPI Number: | 1134505357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 180490-30 |
Business Practice Address: | 608 Higgins Ave Neenah, WI - 549563343 |
Business Phone Number: | 7155510034 |
Business Fax Number: | |
Mailing Address: | 608 Higgins Ave, NEENAH |
State: | WI |
Postal Code: | 549563343 |
Phone Number: | 7155510034 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 180490-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |