PAUL F TREDER APNP NPI 1467445502

NPI Information

NPI: 1467445502
Provider Name: PAUL F TREDER, APNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
101 MAIN ST.
NEENAH, WI
ZIP 54956
Phone: (920) 727-5810
Get Directions

Paul F Treder, APNP is a primary care nurse practitioner in Neenah, WI. Paul F Treder, APNP NPI is 1467445502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 MAIN ST.
NEENAH, WI
ZIP 54956
Phone: (920) 727-5810

The NPI 1467445502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 11/15/2012.

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	163W00000X	Registered Nurse		95350-030	WISCONSIN	No
2	363LP2300X	Nurse Practitioner	Primary Care	587-033	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
1	004800513	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
2	Q11808	MEDICARE UPIN
3	43986300	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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