| Mr Randall Norman Procknow, RN | |
|
4352 Harbor Village Dr, Omro, WI 54963-9498 | |
| (920) 685-0898 | |
| (920) 685-2204 |
| Full Name | Mr Randall Norman Procknow |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Home Health |
| Location | 4352 Harbor Village Dr, Omro, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669653978 | NPI | - | NPPES |
| 38249600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | 58624 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randall Norman Procknow, RN 4352 Harbor Village Dr, Omro, WI 54963-9498 Ph: (920) 685-0898 | Mr Randall Norman Procknow, RN 4352 Harbor Village Dr, Omro, WI 54963-9498 Ph: (920) 685-0898 |
Tracy L Hogan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9212 Stone School Rd, Omro, WI 54963 Phone: 920-685-2193 | |
Ms. Mary Ann Bennett, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5442 Reighmoor Rd, Omro, WI 54963 Phone: 920-203-1877 | |
Miss Mandy Wilke, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4822 Rivermoor Rd, Omro, WI 54963 Phone: 920-573-9758 | |
Tina Morey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 430 N Webster Ave, Omro, WI 54963 Phone: 920-216-4879 | |
Robert Clint Black, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1169 Broderick Rd, Omro, WI 54963 Phone: 240-603-3648 | |
Sarah Lynn O'connell, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5510 Reighmoor Rd, Omro, WI 54963 Phone: 920-685-0178 |