| Waukesha County (nurse Med Services) | |
|
514 Riverview Ave Waukesha WI 53188-3632 | |
| (262) 548-7665 | |
| (262) 970-6696 |
| Full Name | Waukesha County (nurse Med Services) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 514 Riverview Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | David M Derosier (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2625488431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukesha County (nurse Med Services) 514 Riverview Ave Attn: Fiscal Department Waukesha WI 53188-3632 Ph: (262) 548-7399 | Waukesha County (nurse Med Services) 514 Riverview Ave Waukesha WI 53188-3632 Ph: (262) 548-7665 |
| NPI Number | 1164546347 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164546347 | NPI | - | NPPES |
| 32816300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 32816300 (Wisconsin) | Primary |
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