Whalio Doctors

NPI 1013936731

John Bradley Wakefield, RN

Practitioner Registered Nurse Superior, WI

Practice location

Address
3600 Tower Ave, Superior, WI 54880-5337
Phone
(715) 392-1955
Fax
(715) 392-1935

Registered specialties (2)

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence R 152778-6 (MN)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 138615-30 (WI)

Registry record

NPI
1013936731
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jul 2006
Record last updated
21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.