EVALYN MICHIRA (NPI# 1285008474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285008474 |
| Entity Type | Individual |
| Full Name | EVALYN MICHIRA |
| Credential | AGCNS-BC |
| Practice Address |
333 Pine Ridge Blvd Wausau WI 54401-4120 |
| Practice Telephone | 7158472000 |
| Mailing Telephone | 7158472000 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
200780 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 PINE RIDGE BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363986 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2005-08-15 |
| 1902415789 | John Hupp II | Registered Nurse | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-07-28 |
| 1720600240 | Jennifer Scharenbrock | Physical Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-05-07 |
| 1467009282 | Anson Mcquigg | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-26 |
| 1447807086 | Kelly Jonathon Douck | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-19 |
| 1699329102 | Madeline Erickson | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-08-01 |
| 1194384198 | Emily Morgan Meyer | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-06-12 |
| 1659937738 | Breanna Zajichek | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-05-14 |
| 1336703677 | Sophia Frances Andera-cato | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-04-23 |
| 1073096681 | Beth Brinkman | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487053062 | Pamela J Vetter | Clinical Nurse Specialist | 215 N 28th Ave, Wausau, WI 54401-4100 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1265853634 | Benjamin Robert Singer | Clinical Nurse Specialist | 455 E Pleasant St Apt 603, Milwaukee, WI 53202-2695 | 2014-01-02 |
| 1033549423 | Matthew A Singer | Clinical Nurse Specialist | 407 9th Ave, Grafton, WI 53024-1155 | 2013-11-20 |
| 1396391629 | Diane Melrose | Clinical Nurse Specialist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2019-08-13 |
| 1427550011 | Stephanie Bruce | Clinical Nurse Specialist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-02-28 |
| 1578965745 | Michele Yurgil | Clinical Nurse Specialist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2014-09-19 |
| 1295144608 | Shana Mcclone | Clinical Nurse Specialist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2014-08-11 |
| 1013358787 | Connie Sue Mccullick | Clinical Nurse Specialist | 1836 South Ave, La Crosse, WI 54601-5429 | 2013-07-10 |
| 1750628970 | Sara Meiers | Clinical Nurse Specialist | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2013-01-08 |
| 1932469525 | Morgan L Meier | Clinical Nurse Specialist | 9200 W Wisconsin Ave, Department of Urology, Milwaukee, WI 53226-3522 | 2012-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.