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Contact Information

EMILY J BOETTCHER, NP
2408 10TH ST
MENOMINEE, MI49858-2004
 Phone: 906-863-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for EMILY J BOETTCHER · (Female)

NPI # 1275368698
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/05/2024
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 146394
  • WI License # 15882-33
  • WI Medicaid 100219613
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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