Provider Demographics
NPI:1801958871
Name:GNP HOUSE CALLS, LLC
Entity type:Organization
Organization Name:GNP HOUSE CALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEBKE
Authorized Official - Suffix:
Authorized Official - Credentials:GNP
Authorized Official - Phone:715-213-6379
Mailing Address - Street 1:PO BOX 1362
Mailing Address - Street 2:5535 COUNTY HWY Q
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54495-1362
Mailing Address - Country:US
Mailing Address - Phone:715-213-6379
Mailing Address - Fax:
Practice Address - Street 1:5535 COUNTY HWY Q
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54495
Practice Address - Country:US
Practice Address - Phone:715-213-6379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1151-033363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty