| NPI | 1932650017 | 
|---|---|
| Doing Business As | PREVEA HEALTH | 
| Entity Type | Organization | 
| Authorized Contact | JOANNE HORVATH VP Of Finace 920-431-3211  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-10-24 | 
| Last Update Date | 2021-12-23 |