| Laura J Miller, NP | |
|
501 Gopher Dr, Tomah, WI 54660-4513 | |
| (608) 372-2181 | |
| Not Available |
| Full Name | Laura J Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 501 Gopher Dr, Tomah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780783100 | NPI | - | NPPES |
| 43979200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2130 (Wisconsin) | Primary |
| Entity Name | Southwest Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831279793 PECOS PAC ID: 3072427772 Enrollment ID: O20031117000839 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Miller, NP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 | Laura J Miller, NP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 |
Evelyn Williams Bragg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Mr. Daniel Hannan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Sarah J Rezin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1240 | |
Mary Mackenzie Lane-peot, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181 | |
Amy Pollack, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Kayla J Gilman, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-372-4111 | |
Agnieszka Dendura, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-371-2181 |