Provider Demographics
NPI:1538129309
Name:POHL, CECILE M (RN)
Entity type:Individual
Prefix:
First Name:CECILE
Middle Name:M
Last Name:POHL
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:N77W15933 SETTLERS CT
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-7449
Mailing Address - Country:US
Mailing Address - Phone:262-255-6181
Mailing Address - Fax:
Practice Address - Street 1:N77W15933 SETTLERS CT
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-7449
Practice Address - Country:US
Practice Address - Phone:262-255-6181
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI91353-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health