Provider Demographics
NPI:1447533559
Name:KRAEMER-DEMOS, FELICIA ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:ANNE
Last Name:KRAEMER-DEMOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 POPLAR WAY
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1627
Mailing Address - Country:US
Mailing Address - Phone:608-848-6360
Mailing Address - Fax:
Practice Address - Street 1:740 POPLAR WAY
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1627
Practice Address - Country:US
Practice Address - Phone:608-848-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI167603-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse