SANDRA GOTZ NPI 1225634207

NPI Information

NPI: 1225634207
Provider Name: SANDRA GOTZ
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
9532 E 16 FRONTAGE RD
ONALASKA, WI
ZIP 54650
Phone: (608) 783-0506
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Sandra Gotz is an addiction (substance use disorder) registered nurse in Onalaska, WI. Sandra Gotz NPI is 1225634207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9532 E 16 FRONTAGE RD
ONALASKA, WI
ZIP 54650-739
Phone: (608) 783-0506

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	257499-30	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003150004	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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