Individual provider · Type 1 NPI
Andrea R. Enters, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Sussex, WI
NPI number
1336540418
Active
Practice location
N54W23859 Johanssen Ct
Sussex, WI 53089-2142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5987 (WI) |
| Nurse Practitioner | 363L00000X | 5987 (WI) |
| Adult Health Nurse Practitioner | 363LA2200X | 5987 (WI) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1336540418
Andrea R. Enters, NURSE PRACTITIONER's National Provider Identifier is 1336540418, issued on Sep 9, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Sussex, WI. The record was last updated on Aug 5, 2024.