| Doctor Name: | CARMEN HUENERBERG |
| NPI Number: | 1679961650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6182-33 |
| Business Practice Address: | 2310 1st Center Ave Brodhead, WI - 535201937 |
| Business Phone Number: | 6088978664 |
| Business Fax Number: | |
| Mailing Address: | 2310 1st Center Ave, BRODHEAD |
| State: | WI |
| Postal Code: | 535201937 |
| Phone Number: | 6088978664 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2014 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6182-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |