Provider Demographics
NPI:1710956453
Name:VOLTZ, CAROL JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:JEAN
Last Name:VOLTZ
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 1:3965 E BRIGHAM RD
Mailing Address - Street 2:
Mailing Address - City:BLUE MOUNDS
Mailing Address - State:WI
Mailing Address - Zip Code:53517-9501
Mailing Address - Country:US
Mailing Address - Phone:608-437-3585
Mailing Address - Fax:
Practice Address - Street 1:3965 E BRIGHAM RD
Practice Address - Street 2:
Practice Address - City:BLUE MOUNDS
Practice Address - State:WI
Practice Address - Zip Code:53517-9501
Practice Address - Country:US
Practice Address - Phone:608-437-3585
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health