Doctor Name: | TRISHA JO PIEPER |
NPI Number: | 1144513110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 162104-30 |
Business Practice Address: | W2789 Cty Rd F Campbellsport, WI - 53010 |
Business Phone Number: | 9202519000 |
Business Fax Number: | |
Mailing Address: | W2789 Cty Rd F, CAMPBELLSPORT |
State: | WI |
Postal Code: | 53010 |
Phone Number: | 9202519000 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0002X |
License Number: | 162104-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal Intensive Care |
Taxonomy Definition: |