Most Relevant Information
Provider Data
| NPI Number: | 1003258112 |
| Provider Name: | RENEE A CHURCHILL NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 164440 |
Most Important Dates
| Enumeration Date: | 07/18/2013 |
| Last Updated: | 01/07/2021 |
Provider Practice Location
600 HIGHLAND AVE
MADISON
WI
537920001
Practice Location Phone/Fax
| Phone: | 6082631530 |
| Fax: |
Provider Mailing Location
7974 UW HEALTH CT
MIDDLETON
WI
535625531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |