Individual provider · Type 1 NPI
Tracy Mae Puttre, RN, APNP, AGPCNP-C
Adult Health Nurse Practitioner · Milwaukee, WI
NPI number
1194100339
Active
Practice location
9200 W Wisconsin Ave, Dept Of Radiology
Milwaukee, WI 53226-3522
Fax (414) 805-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 6519-33 (WI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 6519-33 (WI) |
| Gerontology Nurse Practitioner | 363LG0600X | 6519-33 (WI) |
| Primary Care Nurse Practitioner | 363LP2300X | 6519-33 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194100339
Tracy Mae Puttre, RN, APNP, AGPCNP-C's National Provider Identifier is 1194100339, issued on Jul 29, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 18, 2015.