KATHY ANN BOE (NPI# 1316037047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316037047 |
Entity Type | Individual |
Full Name | KATHY ANN BOE |
Other Name | KATHY ANN SIMONSON |
Credential | APNP |
Practice Address |
945 Detloff Dr Arcadia WI 54612-1895 |
Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
Practice Telephone | 6083231500 |
Mailing Telephone | 7153875511 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2965-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
945 DETLOFF DR |
City | ARCADIA |
State | WI |
Zip Code | 54612-1895 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871804716 | Jill R. Messling | Specialist/Technologist | 945 Detloff Dr, Arcadia, WI 54612-1895 | 2010-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
Find all providers in zip 54612 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1689142846 | Tamara Porter | Nurse Practitioner | 1693 Nw Pine Creek Ave, Arcadia, FL 34266-5176 | 2018-11-06 |
1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
1275063687 | Jennifer Ruth Li | Nurse Practitioner | 289 W Huntington Dr Ste 305, Arcadia, CA 91007-3495 | 2017-06-18 |
1730623851 | Jessica Alexandra Fennell-thomas | Nurse Practitioner | 1148 E Gibson St Bldg B, Arcadia, FL 34266-5011 | 2016-12-08 |
1093268278 | Amy Dawn Maley | Nurse Practitioner | 75 W Shore Dr, Arcadia, OK 73007-7107 | 2016-07-25 |
1790024297 | Vien Thanh Nguyen | Nurse Practitioner | 354 Harvard Dr, Arcadia, CA 91007-2636 | 2013-02-05 |
Find all providers in ARCADIA |
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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.