Provider Demographics
NPI:1386602530
Name:OAS, CAROL A (RN)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:OAS
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:N9443 634TH ST
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:WI
Mailing Address - Zip Code:54730-4656
Mailing Address - Country:US
Mailing Address - Phone:715-962-3330
Mailing Address - Fax:
Practice Address - Street 1:N9443 634TH ST
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:WI
Practice Address - Zip Code:54730-4656
Practice Address - Country:US
Practice Address - Phone:715-962-3330
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI68641-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39947800Medicaid