CARLY MAVES (NPI# 1649897349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649897349 |
| Entity Type | Individual |
| Full Name | CARLY MAVES |
| Practice Address |
151125 Jonquil Ln Wausau WI 54401-5416 |
| Practice Telephone | 7154091634 |
| Mailing Telephone | 7154091634 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
151125 JONQUIL LN |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-5416 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1851896153 | Tsarina Rachel Vanwieren | Student in an Organized Health Care Education/Training Program | 333 Pine Ridge Blvd Ste 2-730, Wausau, WI 54401-4106 | 2018-03-28 |
| 1548380611 | Craig C Clifford | Student in an Organized Health Care Education/Training Program | 995 W Campus Dr, Wausau, WI 54401-1897 | 2007-03-30 |
| 1811510472 | Joshua T Hess | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
| 1508489170 | Madeline Oestreich | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
| 1972126530 | Christopher Polonio | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
| 1619590270 | Chanteal L Findling | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-05-18 |
| 1558999433 | Tony Swicer Jr. | Student in an Organized Health Care Education/Training Program | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2020-03-27 |
| 1639706971 | Boris Berman | Student in an Organized Health Care Education/Training Program | 333 Pine Ridge Blvd Ste 2-730, Wausau, WI 54401-4106 | 2020-03-25 |
| 1033746425 | Joshua Shupe | Student in an Organized Health Care Education/Training Program | 333 Pine Ridge Blvd Ste 2-730, Wausau, WI 54401-4106 | 2020-03-25 |
| Find all providers in WAUSAU | ||||
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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.