Provider Demographics
NPI:1326213281
Name:LOBERMEIER, PATRICIA JANE (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JANE
Last Name:LOBERMEIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 STRASBURG RD
Mailing Address - Street 2:
Mailing Address - City:MINOCQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54548-9598
Mailing Address - Country:US
Mailing Address - Phone:715-356-6285
Mailing Address - Fax:
Practice Address - Street 1:7609 STRASBURG RD
Practice Address - Street 2:
Practice Address - City:MINOCQUA
Practice Address - State:WI
Practice Address - Zip Code:54548-9598
Practice Address - Country:US
Practice Address - Phone:715-356-6285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI88583-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health