MS. THERESE M POGORELC APNP NPI 1215989934

NPI Information

NPI: 1215989934
Provider Name: MS. THERESE M POGORELC, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
PLANK ROAD WALK IN CLINIC (DNP)
1155 NORTH MAYFAIR ROAD
MILWAUKEE, WI
ZIP 53226
Phone: (414) 456-5990
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MS. Therese M Pogorelc, APNP is a family nurse practitioner in Milwaukee, WI. MS. Therese M Pogorelc, APNP NPI is 1215989934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PLANK ROAD WALK IN CLINIC (DNP)
1155 NORTH MAYFAIR ROAD
MILWAUKEE, WI
ZIP 53226
Phone: (414) 456-5990

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1099	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S53290	MEDICARE UPIN
2	43875500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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