Mikonowicz, Renee

Mikonowicz, Renee is an individual health care provider with primary practice located at 1900 N Dewey Ave , Reedsburg WI 53959-2214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mikonowicz, Renee can be contacted via phone (608) 524-6477.

Contact Information

Primary practice address
1900 N Dewey Ave Reedsburg WI 53959-2214
Phone: (608) 524-6477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 130420 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2259 Wisconsin

Profile Details

NPI number 1558358259
LBN Legal business name Mikonowicz, Renee
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558358259 NPPES
Wisconsin MEDICAID 43986900

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