Provider Demographics
NPI:1467633578
Name:SOLBERG, NANCY N (RN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:N
Last Name:SOLBERG
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:W6271 WENDTLAND RD
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-8915
Mailing Address - Country:US
Mailing Address - Phone:608-783-6271
Mailing Address - Fax:
Practice Address - Street 1:W6271 WENDTLAND RD
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-8915
Practice Address - Country:US
Practice Address - Phone:608-783-6271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI66009-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35043200Medicaid