Provider Demographics
NPI:1528382785
Name:HEMAUER, CAROL J (RN, BSN, MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:HEMAUER
Suffix:
Gender:F
Credentials:RN, BSN, MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SUNNY HILL AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54902-7479
Mailing Address - Country:US
Mailing Address - Phone:920-426-9616
Mailing Address - Fax:
Practice Address - Street 1:60 SUNNY HILL AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-7479
Practice Address - Country:US
Practice Address - Phone:920-426-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI122264030163W00000X
WI695-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171100000XOther Service ProvidersAcupuncturist