Individual provider · Type 1 NPI
Richard Datka, APRN
Adult Health Nurse Practitioner · East Troy, WI
NPI number
1699194472
Active
Practice location
N8134 Bell School Rd
East Troy, WI 53120-2422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 18263 (TN) |
| Gerontology Nurse Practitioner | 363LG0600X | 18263 (TN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9405 (WI) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 18695 (SC) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1699194472
Richard Datka, APRN's National Provider Identifier is 1699194472, issued on Apr 9, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Troy, WI. The record was last updated on Apr 19, 2026.