Organization
DEMENTIA CONSULTATIONS LLC
Active
Organization
DEMENTIA CONSULTATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHILOMENA MAE POOLE RN GNP-BC (NURSE PRACTITIONER, SOLE PROPRIETER)
(608) 647-6538
Entity
Organization
Contact information
Practice address
265 NORTH PARK STREET, RICHLAND CENTER, WI 53581-2208
(608) 647-6538
Mailing address
265 NORTH PARK STREET, RICHLAND CENTER, WI 53581-2208
(608) 647-6538
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
964-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629079348
NPI TYPE 1
—
05
—
43849300
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up