| NPI | 1013976380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY JO TANNER Case Manager 608-623-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: WI 100561) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |