Provider Demographics
NPI:1033932330
Name:WILLIAMS, DENETTE AMANDA PLANSKY (RN)
Entity type:Individual
Prefix:
First Name:DENETTE
Middle Name:AMANDA PLANSKY
Last Name:WILLIAMS
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 1:13106 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:WI
Mailing Address - Zip Code:54758-7487
Mailing Address - Country:US
Mailing Address - Phone:715-512-0335
Mailing Address - Fax:
Practice Address - Street 1:701 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2202
Practice Address - Country:US
Practice Address - Phone:608-263-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program