ANDREA R ENTERS NURSE PRACTITIONER NPI 1336540418

NPI Information

NPI: 1336540418
Provider Name: ANDREA R ENTERS, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
342 N WATER ST STE 600
MILWAUKEE, WI
ZIP 53202
Phone: (651) 342-1039
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Andrea R Enters, NURSE PRACTITIONER is a gerontology nurse practitioner in Milwaukee, WI with 10 years of experience. Andrea R Enters, NURSE PRACTITIONER NPI is 1336540418. 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:

342 N WATER ST STE 600
MILWAUKEE, WI
ZIP 53202-715
Phone: (651) 342-1039
Fax: (651) 342-1428

The NPI 1336540418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 5/9/2023.

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	363L00000X	Nurse Practitioner		5987	WISCONSIN	No
2	363LA2200X	Nurse Practitioner	Adult Health	5987	WISCONSIN	No
3	363LG0600X	Nurse Practitioner	Gerontology	5987	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	100040273	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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