Provider Demographics
NPI:1518648674
Name:BABINSKI, ANDREA M (RN)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:BABINSKI
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:W4356 CERESA DR
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:54669-9557
Mailing Address - Country:US
Mailing Address - Phone:608-633-8072
Mailing Address - Fax:
Practice Address - Street 1:W4356 CERESA DR
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:WI
Practice Address - Zip Code:54669-9557
Practice Address - Country:US
Practice Address - Phone:608-633-8072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI170212163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health