Individual
JOY KOBISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 258-1160
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
419-033
WI
363LF0000X
Family Nurse Practitioner
Primary
419
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00066657
RAILROAD MEDICARE
WI
Enumeration date
06/17/2006
Last updated
03/13/2018
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