Individual
JAYME K QUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 887-3102
(920) 855-8790
Mailing address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 887-3102
(920) 855-8790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151008-30
WI
363L00000X
Nurse Practitioner
Primary
2010007957
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205143302
—
WI
Enumeration date
09/10/2010
Last updated
03/05/2021
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