Courtney Ewoldt

NPI 1215140728 · on the registry since 2007

Practice

Address: 2730 W Ramsey Ave
Milwaukee, WI 53221
Phone: (414) 282-2600
Fax: (414) 282-2051
Organisation at this address: Nsh Maple Ridge Llc
Extendicare Health Facilities, Inc.
Fmg West Ramsey Avenue Wisconsin Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin