Organization
INDEPENDENT NURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON MARIE BLOMDAHL LPN/RCS (VENTILATOR NURSE)
(414) 525-0515
Entity
Organization
Contact information
Practice address
11226 W JANESVILLE RD, HALES CORNERS, WI 53130-2401
(414) 525-0515
Mailing address
11226 W JANESVILLE RD, HALES CORNERS, WI 53130-2401
(414) 525-0515
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
33596031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39951400
—
WI
Enumeration date
03/14/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us