Provider Demographics
NPI:1073064671
Name:PAPESH, RENEE LYNETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LYNETTE
Last Name:PAPESH
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 1:612 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3726
Mailing Address - Country:US
Mailing Address - Phone:715-559-6354
Mailing Address - Fax:
Practice Address - Street 1:612 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-3726
Practice Address - Country:US
Practice Address - Phone:715-559-6354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI227359-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse