| Mrs Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS | |
|
N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | |
| (715) 284-9851 | |
| (715) 284-5150 |
| Full Name | Mrs Kathryn Elizabeth Braaten |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | N6520 Lumberjack Guy Rd, Black River Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346454428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 726-029 (Wisconsin) | Primary |
| Provider Name | Ho Chunk Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 Ph: (715) 284-9851 | Mrs Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 Ph: (715) 284-9851 |
Heather Jerzak, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 Phone: 888-685-4422 | |
Jessica Elizabeth Jennings, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 888-685-4422 Fax: 715-284-5107 | |
Miss Jamie Ann Sebion, R.D., C.D., C.L.C. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 | |
Wendy M Backaus, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 |