Travis John La Barre, NP | |
130 2nd St, Neenah, WI 54956-2883 | |
(920) 420-6189 | |
Not Available |
Full Name | Travis John La Barre |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 130 2nd St, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598474108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 13282-33 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
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Travis John La Barre, NP 1631 S Van Dyke Rd, Appleton, WI 54914-8269 Ph: (920) 420-6189 | Travis John La Barre, NP 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 420-6189 |
Mrs. Amanda Kay Douma, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 N Green Bay Rd Ste B, Neenah, WI 54956 Phone: 920-454-7130 | |
Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 | |
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023 | |
Pamela Macwilliams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030 | |
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113 | |
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 | |
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378 |