Provider Demographics
NPI:1164748083
Name:RASHEL DAUBNER, LINDA L
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:RASHEL DAUBNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 SHERRY AVE
Mailing Address - Street 2:PO BOX 310
Mailing Address - City:PARK FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54552-1467
Mailing Address - Country:US
Mailing Address - Phone:715-762-2484
Mailing Address - Fax:715-762-7518
Practice Address - Street 1:98 SHERRY AVE
Practice Address - Street 2:
Practice Address - City:PARK FALLS
Practice Address - State:WI
Practice Address - Zip Code:54552-1467
Practice Address - Country:US
Practice Address - Phone:715-762-2484
Practice Address - Fax:715-762-7518
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI256-029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered