NPI 1063953784

Megan Roethle, CCPRN

Practitioner Perfusionist Kenosha, WI

Practice location

Address: 6308 8th Ave, Kenosha, WI 53143-5031
Phone: (262) 355-5636

Registered specialties (2)

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 196715 (WI)

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Registry record

NPI: 1063953784
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2017
Record last updated: 5 Apr 2019

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.