Brian Scott Scapardine, | |
7530 County Road B, Pittsville, WI 54466-9759 | |
(715) 676-2920 | |
Not Available |
Full Name | Brian Scott Scapardine |
---|---|
Gender | Male |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 7530 County Road B, Pittsville, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538720412 | NPI | - | NPPES |
04041967 | Medicaid | WI | |
04041967 | Other | WI | COMMERCIAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 130367 (Wisconsin) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 130367 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Brian Scott Scapardine, 7530 County Road B, Pittsville, WI 54466-9759 Ph: (715) 676-2920 | Brian Scott Scapardine, 7530 County Road B, Pittsville, WI 54466-9759 Ph: (715) 676-2920 |
Jacqueline Scapardine, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7530 County Road B, Pittsville, WI 54466 Phone: 715-676-2920 | |
Mrs. Kim L Geer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10279 Amelia Rd, Pittsville, WI 54466 Phone: 715-884-6109 |