Jill Koch Wanggaard in Milwaukee - Nurse Practitioner
Jill Koch Wanggaard - NPI 1396734034
Jill Koch Wanggaard is a Nurse Practitioner in Milwaukee, Wisconsin. Jill Koch Wanggaard practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jill Koch Wanggaard is 1396734034. The last update date is 2021-11-23.
Jill Koch Wanggaard's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 2628844088 and fax number 2628844078. The mailing address for Jill Koch Wanggaard is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Koch Wanggaard |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 2628844088 |
| Fax Number | 2628844078 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1396734034 |
|---|---|
| Provider Enumeration Date | 2005-10-15 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 2628844088 |
| Fax Number | 2628844078 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 74115 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396734034 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jill Koch Wanggaard by the Centers for Medicare & Medicaid Services?
The Jill Koch Wanggaard has been issued the NPI (National Provider Identifier) 1396734034 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jill Koch Wanggaard?
The Jill Koch Wanggaard is physically situated at 3301 W Forest Home Ave, in the city of Milwaukee, state of WI, with the postal code 532152843.
What is the Jill Koch Wanggaard's specialty and taxonomy code?
The Jill Koch Wanggaard's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did Jill Koch Wanggaard receive its 1396734034 assignment?
The Jill Koch Wanggaard was assigned its 1396734034 on 2005-10-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jill Koch Wanggaard most recently updated?
The details pertaining to the Jill Koch Wanggaard, including its address, specialty, and other relevant information, were last refreshed on 2021-11-23.