Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State Private Duty Nursing

Organization Registered Nurse · NPI 1700848553

State Private Duty Nursing is a Registered Nurse in Tomah, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11136 Elder Rd
Tomah, WI 54660-8089
Phone: (608) 372-6908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1700848553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Faulkner — Private Duty Nursing · (608) 372-6908
NPI enumeratedApril 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address11136 Elder Rd, Tomah, WI 54660-8089

Other providers in Tomah