Doctor Name: | MS. EUGENIA S DURST |
NPI Number: | 1346320058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 341716-22 |
Business Practice Address: | 500 East Veterans St Tomah, WI - 54660 |
Business Phone Number: | 6083723971 |
Business Fax Number: | |
Mailing Address: | W9394 Evergreen Lane, MERRILLAN |
State: | WI |
Postal Code: | 54754 |
Phone Number: | 7157438013 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 341716-22 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |