Provider Demographics
NPI:1679506471
Name:EPLING, NANCY ANNE (RN RCS)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANNE
Last Name:EPLING
Suffix:
Gender:F
Credentials:RN RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 VILLA PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53090-8438
Mailing Address - Country:US
Mailing Address - Phone:262-335-2245
Mailing Address - Fax:
Practice Address - Street 1:12250 W NORTH AVENUE
Practice Address - Street 2:APT 222A
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2066
Practice Address - Country:US
Practice Address - Phone:414-476-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI96101030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health