WATER CITY CARE MISSION INC. NPI 1154929909

NPI Information

WATER CITY CARE MISSION, INC. is a family nurse practitioner in Oshkosh, WI. WATER CITY CARE MISSION, INC. NPI is 1154929909. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

449 HIGH AVE.
OSHKOSH, WI
ZIP 54901-708
Phone: (920) 234-6970
Fax: (920) 744-2488

The provider's authorized official is Brianna M. Klotz .
The authorized official title is Director and has the following contact phone number (920) 234-6970.

The CLIA number assigned to this NPI record is 52D2200667 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/14/2020 and was last updated on 10/14/2020.

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:

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