Provider Demographics
NPI:1144831041
Name:PUTTONEN, CURTIS (RN)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:PUTTONEN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8499 BOAT LANDING RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH RANGE
Mailing Address - State:WI
Mailing Address - Zip Code:54874-8974
Mailing Address - Country:US
Mailing Address - Phone:715-817-6028
Mailing Address - Fax:
Practice Address - Street 1:6571 AFTER HOURS ROAD
Practice Address - Street 2:
Practice Address - City:BRULE
Practice Address - State:WI
Practice Address - Zip Code:54820
Practice Address - Country:US
Practice Address - Phone:608-383-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101075163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse