Bad River Band of Lake Superior Tribe of Chippewa Indians

NPI #1588115018 in Ashland, Wisconsin

Provider Information

NPI Number
1588115018
Entity Type
Organization
Organization Name
Bad River Band of Lake Superior Tribe of Chippewa Indians
Primary Specialty
Registered Nurse
Enumeration Date
Oct 19, 2016
Last Updated
Oct 19, 2016

Practice Location

Address
53585 NOKOMIS RD
ZIP Code
54806-4272
Phone
(715) 682-7133

Authorized Official

Name
MRS. JACQUELYN BROWN, R.N.
Title
PNCC NURSE
Phone
(715) 682-7133

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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