Provider Demographics
NPI:1396913851
Name:FOELKER, RENE JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:RENE
Middle Name:JEAN
Last Name:FOELKER
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:N2018 FROMMADER RD
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-9091
Mailing Address - Country:US
Mailing Address - Phone:262-593-8582
Mailing Address - Fax:262-473-0900
Practice Address - Street 1:N2018 FROMMADER RD
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-9091
Practice Address - Country:US
Practice Address - Phone:920-723-6728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse